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Dr. James D Waller Jr., MD

Colon & Rectal Surgery Physician in Evansville, IN · enumerated 2005 · practices at Tri-State Colorectal Group, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366440299

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Registry record

Entity type Individual (Type 1)
Name Dr. James D Waller Jr.
Credential MD
Sex Male
Practice address 950 S Kenmore Dr Ste B, Evansville, IN, 47714
Phone (812) 301-8110
Fax (812) 401-4001
Enumeration date Jul 13, 2005
Last updated in NPPES Apr 15, 2019

Taxonomy & licenses

208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians · License 01029847A (IN) Primary
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
01029847A Other IN STATE LICENSE
000000042443 Other IN ANTHEM BC/BS
100352100 Medicaid IN -
64757446 Medicaid KY -

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.

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Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is James Waller?
James Waller is registered in NPPES with the primary taxonomy of Colon & Rectal Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-15.