DR. SARA WALLACE (NPI# 1174899207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174899207 |
| Entity Type | Individual |
| Full Name | DR. SARA WALLACE |
| Other Name | SARA JANE SHIPPEE |
| Credential | M.D., M.P.H. |
| Practice Address |
5814 S Maryland Ave # Mc3079 Chicago IL 60637 |
| Mailing Address |
5814 S Maryland Ave # Mc3079 Chicago IL 60637-1462 |
| Practice Telephone | 7378343531 |
| Practice Fax Number | 7737024765 |
| Mailing Telephone | 7378343531 |
| Mailing Fax Number | 7737024765 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036.142690 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 W Harrison St Ste 300, Chicago, IL 606124861 | 7082362673 | |
| Uw Department of Surgery 1959 Ne Pacific St, Box #356410, Seattle, WA 981956410 | 7088056065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804320 | Sara Wallace | Psychologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-06-02 |
| 1417278995 | Sara Jane Wallace | Social Worker | 6407 Austinburg Rd, Ashtabula, OH 44004-9306 | 2010-06-18 |
| 1659460087 | Sara A Wallace | Chiropractor | 17903 Roy St, Lansing, IL 60438-2327 | 2006-10-12 |
| 1750908174 | Sara Davis Wallace | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-07-01 |
| 1447895776 | Sara Wallace | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-11-11 |
| 1447764030 | Sara Michelle Wallace | Case Manager/Care Coordinator | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2017-11-19 |
| 1114464310 | Sara W Wallace | Nurse Practitioner | 950 Sanders Rd, Cumming, GA 30041-5960 | 2017-01-25 |
| 1356576185 | Sara Elizabeth Wallace | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-05-22 |
| 1811142557 | Sara N Wallace | Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | 2008-11-21 |
| 1619993334 | Sara Jane Wallace | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2006-07-14 |
| Street Address |
5814 S MARYLAND AVE # MC3079 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114184058 | Denis Nam | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2008-05-19 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
| 1457745416 | Mark Zekaj | Orthopaedic Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-26 |
| 1255695029 | Christopher Bennett Stalling | Orthopaedic Surgery | 5841 S Maryland Ave # Mc3079, Chicago, IL 60637-1447 | 2012-06-26 |
| 1063778413 | Vasili Karas | Orthopaedic Surgery | 3000 N Halsted St Ste 525, Chicago, IL 60657-9269 | 2012-04-10 |
| 1003182973 | Yi-loong Colin Woon | Orthopaedic Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2012-03-26 |
| 1306975271 | Hany Bedair | Orthopaedic Surgery | 1725 W Harrison St, #1063, Chicago, IL 60612-3841 | 2007-03-05 |
| 1134225865 | Henry A. Finn | Orthopaedic Surgery | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2006-09-16 |
| 1477599207 | Kevin R. Kane | Orthopaedic Surgery | 3565 Momentum Pl, Chicago, IL 60689-5335 | 2006-06-21 |
| Find all providers in CHICAGO | ||||
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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.