DR. DAVID MICHAEL WALLACE SR.


Address: 200 Eaton St, Hampton, VA 23669-4000
Phone: 7577265000

DR. DAVID MICHAEL WALLACE SR. (NPI# 1134285810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134285810
Entity Type Individual
Full Name DR. DAVID MICHAEL WALLACE SR.
Credential M.D.
Practice Address 200 Eaton St
Hampton
VA 23669-4000
Practice Telephone 7577265000
Practice Fax Number 7577265001
Mailing Telephone 7577265000
Mailing Fax Number 7577265001
Enumeration Date 2006-12-28
Last Update Date 2020-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0101269450 VA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 043144 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
P10500 Mount Bellevedere Drive, Attn: Deputy Cdr for Clinical Services (dccs), Fort Drum, NY 13602 3157724021

Other Providers DAVID WALLACE

NPI Name Taxonomy Address Enumeration
1700327061 David Wallace Student in an Organized Health Care Education/Training Program 24606 Mosquero Ln, Mission Viejo, CA 92691-4913 2017-03-19
1265743595 David R Wallace Jr. Radiology 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 2010-07-01
1386868487 David Stuart Wallace Chiropractor 2330 Highway 94 South Outer Rd, Saint Charles, MO 63303-8301 2007-04-12
1649343641 David Michael Wallace Chiropractor 112 W Grand Ave, Rainbow City, AL 35906-3233 2006-11-16
1932193604 David Wallace Anesthesiology 738 Golden Pheasant Dr, Draper, UT 84020-8454 2005-09-08
1386646206 David Allen Wallace Dentist 206 S Walker St, Princeton, WV 24740-2747 2005-08-11
1295736809 David B. Wallace Radiology 325 N Highland Ave, Provena Mercy Medical Center, Aurora, IL 60506-3811 2005-08-04
1679576276 David Alan Wallace Ophthalmology 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 2005-05-27
1619596335 David Alexander Wallace Student in an Organized Health Care Education/Training Program 920 Madison Ave Ste 447, Memphis, TN 38103-3438 2020-04-13
1396364402 David Carter Wallace Student in an Organized Health Care Education/Training Program 620 Shadow Ln, Las Vegas, NV 89106-4119 2020-04-09

Office Location

Street Address 200 EATON ST
City HAMPTON
State VA
Zip Code 23669-4000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689648164 Anthony P Fisher Family Medicine 200 Eaton St, Hampton, VA 23669 2006-02-14
1932695517 Dylan Miguel George Nurse Practitioner 200 Eaton St, Hampton, VA 23669-4000 2018-07-06
1215294251 Beata Barreto Family Medicine 200 Eaton St, Hampton, VA 23669-4000 2012-04-16
1770864035 Amanda Caree Almond Nurse Practitioner 200 Eaton St, Hampton, VA 23669-4000 2011-08-31
1326165929 Sentara Medical Group Durable Medical Equipment & Medical Supplies 200 Eaton St, Hampton, VA 23669-4000 2007-03-26
1205801339 Kathryn A Caufield Nurse Practitioner 200 Eaton St, Hampton, VA 23669 2006-02-22
1558336867 Todd A Weisman Family Medicine 200 Eaton St, Hampton, VA 23669-4000 2006-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225519325 Morgan Mead Dietitian, Registered Usaf Hospital, 77 Nealy Ave, Apo, AA 23669 2018-08-27
1689193690 Tisha Marie Payne In Home Supportive Care 52 Old Hampton Ln Suite F, Hampton, VA 23669 2017-09-12
1275063372 Crystal Sharps Registered Nurse 27 Rockingham Dr, Hampton, VA 23669 2017-06-13
1851826945 Icare Health Care Services, LLC Home Health 1314 Willnew Dr, Hampton, VA 23669 2017-04-26
1790132173 Jennifer Jones-hicks Speech-Language Pathologist 67 Red Robin Turn, Hampton, VA 23669 2016-05-16
1316313588 Elizabeth Anne Brewer Physical Therapist 23 Curle Road, Hampton, VA 23669 2015-08-11
1497132146 Felicia Walker Driver 129 Settlers Landing Rd, Hampton, VA 23669 2015-05-01
1821375858 Alabaster Anointed Home Care LLC Home Health 703 Essex Park Drive, Hampton, VA 23669 2011-11-04
1649414269 Genesis Healthcare Rehabilitation Hospital 113 Atwell Lane, Hampton, VA 23669 2009-04-27
1578826004 Snorebiz Clinic/Center 638 Kings View Ct, Hampton, VA 23669-1014 2012-06-19
Find all providers in zip 23669

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053843987 Jessica Weng Family Medicine 191 Fox Hill Rd Ste D, Hampton, VA 23669-2360 2017-03-30
1831621887 Allen Family Healthcare LLC Family Medicine 149 Berkeley Way, Hampton, GA 30228-4082 2017-03-29
1700174117 Rodney Leron Thompson Family Medicine Patient First - Hampton, 2304 W Mercury Blvd, Hampton, VA 23666 2011-07-19
1255626602 Daniel Adrian Whitelocke Family Medicine 402 S Lee St, Hampton, AR 71744-8615 2011-06-14
1386893592 Carlos F Acosta Md Ltd Family Medicine 2100 Hartford Rd, Hampton, VA 23666-2409 2008-09-11
1396908067 Robert Scott Fell Family Medicine 850 Enterprise Pkwy Ste 2200, Hampton, VA 23666-6252 2008-07-03
1578781704 Shahbaz Khan Family Medicine 850 Gateway Blvd., Hampton, VA 23666 2007-04-23
1477680858 Tidewater Family Medicine, P C Family Medicine 2114a Hartford Rd, Hampton, VA 23666-2409 2007-02-27
1720150246 North Hunterdon Physician Assoc Family Medicine 37 Rupell Rd, Hampton, NJ 08827 2006-11-14
1740350669 Shirin Valiani Family Medicine 25 Goss Drive, Hampton, GA 30228-1855 2006-11-08
Find all providers in HAMPTON

Competitor

Search similar providers

City HAMPTON
Zip Code 23669

Improve Information

Please comment or provide details below to improve the information on DR. DAVID MICHAEL WALLACE SR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches