Jarrod C Wall, MD
Jarrod C Wall is a Surgical Critical Care Physician provider (Surgery) practicing in Springfield, IL, registered in the NPPES registry with NPI 1184695520 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184695520 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jarrod C Wall |
| Credential | MD |
| Sex | Male |
| Practice address | 747 N RUTLEDGE ST FL 2, Springfield, IL, 62702 |
| Phone | 2175458000 |
| Fax | 2175457795 |
| Enumeration date | 2006-02-01 |
| Last updated in NPPES | 2024-01-29 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | 46894 | MN |
| 208600000X | Surgery Physician | Secondary | 036.121923 | IL |
| 2086S0102X | Surgical Critical Care Physician | Primary | 036-121923 | IL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-121923 | Medicaid | IL | — |
| 492479700 | Medicaid | MN | — |
Copy-ready billing details
Provider: Jarrod Wall, MD NPI: 1184695520 Taxonomy: 2086S0102X (Surgical Critical Care Physician) Address: 747 N RUTLEDGE ST FL 2, Springfield, IL, 62702
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1679569172 | John Sutyak | Individual | Surgical Critical Care Physician | Springfield, IL |
| 1831136605 | Bruce Frankel | Individual | Neurological Surgery Physician | Springfield, IL |
| 1922290451 | Adam Reid | Individual | Surgical Critical Care Physician | Springfield, IL |
| 1700107232 | Brandt Whitehurst | Individual | Surgical Critical Care Physician | Springfield, IL |
| 1245509926 | Rachel Tindall | Individual | Transplant Surgery Physician | Springfield, IL |
| 1306286703 | Benjamin Rejowski | Individual | Surgical Critical Care Physician | Springfield, IL |
| 1376944025 | Alessandra Mantovani | Individual | Neurological Surgery Physician | Springfield, IL |
| 1811347214 | James Feimster | Individual | Surgery Physician | Springfield, IL |
Verify this record
Cross-check NPI 1184695520 against the authoritative CMS record: view Jarrod C Wall on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-29.