Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristian Harold Wall, MD

Individual provider Gastroenterology Physician · NPI 1669764916

Kristian Harold Wall, MD is a Gastroenterology in Ravenna, Ohio. Graduated from Ohio State University College of Medicine in 2011, 15 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6847 N Chestnut St Ste 210
Ravenna, OH 44266-3929
Phone: (330) 297-6060
Fax: (216) 201-7846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Rose St, Lexington, KY 40536-0001 — (859) 323-4937

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 35.131005 (OH)

Record details

NPI number1669764916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2011
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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