DR. CHRISTOPHER ALAN WALLACE (NPI# 1164447215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164447215 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER ALAN WALLACE |
| Credential | M.D. |
| Practice Address |
270 Farmington Avenue Suite 332 Farmington CT 06089 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 8882762223 |
| Practice Fax Number | 9727670225 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
041939 | CT | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
041939 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958409 | Christopher Wallace | Counselor | 2627 Edenborn, 302, Metairie, LA 70002 | 2015-07-22 |
| 1578699641 | Christopher J Wallace | Dentist | 1400 Townview Ln, Santa Rosa, CA 95405-7538 | 2007-02-26 |
| 1790859528 | Christopher Shawn Wallace | Optometrist | 8745 Glacier Hwy, Space 426, Juneau, AK 99801-8029 | 2006-11-20 |
| 1578060646 | Christopher Wallace | Physical Therapy Assistant | 16333 Chagrin Blvd, Cleveland, OH 44120-3711 | 2018-04-06 |
| 1992208706 | Christopher William Wallace | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2018-03-18 |
| 1063923357 | Christopher Wallace | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-13 |
| 1932633328 | Christopher Wallace | General Practice | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-04-12 |
| 1366974610 | Christopher Scott Wallace | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2017-03-28 |
| 1508301466 | Christopher Wallace | Specialist/Technologist | 1919 Skokie Valley Rd, Highland Park, IL 60035-2361 | 2017-01-03 |
| 1033599790 | Christopher Wallace | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2015-06-08 |
| Street Address |
270 FARMINGTON AVENUE SUITE 332 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871552331 | Spine & Pain Centers of Connecticut PC | Chiropractor | 270 Farmington Avenue, Suite 152, Farmington, CT 06032 | 2006-03-22 |
| 1396883526 | Z Riki Brodey | Social Worker | 270 Farmington Avenue, Suite 345, Farmington, CT 06032-1909 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285981761 | Lora Long Feld | Nurse Practitioner | 14 Aspenwood, Weatogue, CT 06089 | 2012-08-14 |
| 1689798068 | Sophia Diana Beason-brown | Dentist | 381 Hopmeadow St, Suite 301, Weatogue, CT 06089 | 2007-03-19 |
| 1902803299 | Jacqueline Ms Sloan | Pediatrics | 225 Hopmeadow Street, Weatogue, CT 06089 | 2005-07-01 |
| 1598121428 | Michael Chikezie Ijomah | Chiropractor | 381 Hopmeadow St, Suite 303, Simsbury, CT 06089 | 2016-01-07 |
| 1033419130 | L. Andrew Tolk, Dc | Chiropractor | 102 Hopmeadow St, Simsbury, CT 06089 | 2010-10-25 |
| 1326149238 | Margaret M Bason | Dermatology | 225 Hopmeadow Street, Suite 300, Simsbury, CT 06089 | 2006-09-25 |
| 1952337727 | Richard Alan Feifer | Internal Medicine | 29 Spruce Ln, Weatogue, CT 06089-9401 | 2006-06-24 |
| 1114326394 | Erica Kapiloff | Social Worker | 15 Spruce Ln, Weatogue, CT 06089-9401 | 2014-08-14 |
| 1427054535 | Valley Rehabilitation Center, Inc. | Specialist | 110 Hopmeadow St, Ste 300, Simsbury, CT 06089-9407 | 2005-06-23 |
| 1528295458 | Lisa J. Woods | Physical Therapist | 110 Hopmeadow St, Suite 300, Weatogue, CT 06089-9407 | 2009-06-18 |
| Find all providers in zip 06089 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316912819 | Michael D Zaricor | Pathology | 1212 Weber Rd, Suite 205, Farmington, MO 63640-3325 | 2006-02-20 |
| 1326283383 | Mineral Area Laboratories LLC | Pathology | 1212 Weber Rd, Farmington, MO 63640-3325 | 2008-12-04 |
| 1003074030 | State of Connecticut Health Center | Pathology | 263 Farmington Ave, Laboratory Hbp Group, Farmington, CT 06030-0001 | 2008-05-27 |
| 1932217536 | Tresrios Pathology PC | Pathology | 801 W Maple St, Farmington, NM 87401-5630 | 2006-08-25 |
| 1245347103 | Patricia L Armell | Pathology | 801 W Maple St, Farmington, NM 87401-5630 | 2006-08-24 |
| 1467569350 | Scott Parley Otteson | Pathology | 801 W Maple St, Farmington, NM 87401-5630 | 2006-08-24 |
| 1841265345 | Russell D Deidiker | Pathology | 1212 Weber Rd, Suite 205, Farmington, MO 63640-3325 | 2006-02-20 |
| 1750356408 | Brent Farnsworth | Pathology | 801 W Maple St, Farmington, NM 87401-5630 | 2006-02-17 |
| 1972594497 | Enrique Ballesteros | Pathology | 263 Farmington Ave, Farmington, CT 06030-3985 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730625856 | Karen Blomquist | Pathology | 43 Essex Ln, Woodbury, CT 06798-2631 | 2017-01-12 |
| 1508244070 | Pallavi Patil | Pathology | 20 York St # Ep2-612, New Haven, CT 06510-3220 | 2015-05-15 |
| 1477968261 | Chen Yang | Pathology | 310 Cedar St # Lh108, New Haven, CT 06510 | 2014-06-30 |
| 1023436029 | Physicians for Women's Health, LLC | Pathology | 22 Waterville Rd, Avon, CT 06001-2066 | 2014-04-07 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1841557949 | Lewis Morton Portnoy | Pathology | 10 Linda Ln, Westport, CT 06880-3945 | 2012-04-13 |
| 1730475963 | Patricia Marie Raciti | Pathology | Greenwich Hospital, 5 Perryridge Road, Greenwich, CT 06830 | 2011-06-27 |
| 1538452594 | Lois Wurzel | Pathology | 77 Bayberry Hill Rd, Avon, CT 06001-2800 | 2011-05-24 |
| 1134377344 | Andrew Stuart Radow | Pathology | 16 Lawton Dr, Simsbury, CT 06070-2725 | 2008-08-29 |
| 1699937748 | Heather Mary Carney | Pathology | 2800 Main, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 06089 |
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| 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.