CATHERINE WALLACE


Address: 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370
Phone: 6783123290

CATHERINE WALLACE (NPI# 1154895647) 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) 1154895647
Entity Type Individual
Full Name CATHERINE WALLACE
Other Name CATHERINE KAMENSKY
Credential MMSC, PA-C
Practice Address 631 Professional Dr Ste 120
Lawrenceville
GA 30046-3370
Practice Telephone 6783123290
Practice Fax Number 6783122733
Mailing Telephone 6783123290
Mailing Fax Number 6783122733
Enumeration Date 2019-01-17
Last Update Date 2020-11-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9113215 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers CATHERINE WALLACE

NPI Name Taxonomy Address Enumeration
1033200431 Catherine Wallace Nurse Practitioner 1250 E 9th St, Des Moines, IA 50316-2316 2006-09-28
1154946606 Catherine Wallace Urology 1120 15th St, Augusta, GA 30912-0006 2020-06-10
1083130827 Catherine Jessica Wallace Student in an Organized Health Care Education/Training Program 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 2017-08-14
1679095178 Catherine Kelly Wallace Counselor 625 Delaware Ave Ste 204, Buffalo, NY 14202-1007 2017-07-17
1497118335 Catherine Lauren Wallace Family Medicine 1125 N Church St, Greensboro, NC 27401-1007 2016-03-29
1528439171 Catherine Wallace Counselor 807 Lawn Ave, Sellersville, PA 18960-1549 2015-10-08
1598150575 Catherine Maria Caska Wallace Psychologist 1660 S Columbian Way # 116mhc, Seattle, WA 98108-1532 2015-04-06
1518918036 Catherine M. Wallace Pediatrics 100 N Academy Ave, Danville, PA 17822-2710 2006-05-12

Office Location

Street Address 631 PROFESSIONAL DR STE 120
City LAWRENCEVILLE
State GA
Zip Code 30046-3370

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326396193 Regina Marie Lacey Nurse Practitioner 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 2012-08-27
1497229892 Jannette Marva Lord Nurse Practitioner 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 2019-01-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241879 Victoria I Nwadiogbu Physician Assistant 1664 Hampton Hollow Trl, Lawrenceville, GA 30043-5176 2020-06-29
1588294441 Dat Nguyen Physician Assistant 771 Old Norcross Rd Ste 355, Lawrenceville, GA 30046-4324 2020-01-20
1679132153 Tatiana Tulei Physician Assistant 1571 Swan Valley Ct, Lawrenceville, GA 30043-7410 2019-06-10
1740751973 Cheryl Dawn Tioaquen Physician Assistant 3060 Binghampton Ln, Lawrenceville, GA 30044-2797 2018-12-16
1982188322 Benjamin J Singleton Physician Assistant 2020 Waters Ferry Dr, Lawrenceville, GA 30043-3172 2018-09-21
1629556832 Elizabeth Chandler Harris Physician Assistant 301 Phiip Blvd, Suite A, Lawrenceville, GA 30046-8746 2018-07-31
1972970762 Christopher James Weigel Physician Assistant 758 Old Norcross Rd Ste 100, Lawrenceville, GA 30046-3386 2015-08-27
1679887889 William Bruce Rice Physician Assistant 771 Old Norcross Rd Ste And390, Lawrenceville, GA 30046-4386 2010-07-29
1043459613 Lashonda Kenya Bloodsaw Physician Assistant 1735 N Brown Raod, Health Care Partners, Lawrenceville, GA 30043-3872 2009-02-05
1750320685 Jerry U. Mercedat Physician Assistant 631 Professional Dr Ste 170, Lawrenceville, GA 30046-3392 2006-06-06
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 30046

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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.

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