IRA B WALLACE (NPI# 1316993124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316993124 |
| Entity Type | Individual |
| Full Name | IRA B WALLACE |
| Credential | M.D. |
| Practice Address |
2 Bala Plaza 333 E City Avenue Bala Cynwyd PA 19004-1501 |
| Practice Telephone | 6106682777 |
| Practice Fax Number | 6106681509 |
| Mailing Telephone | 6106682777 |
| Mailing Fax Number | 6106681509 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD032125E | PA | Other Service Providers |
| Y | 207W00000X | Ophthalmology | MD032125E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
2 BALA PLAZA 333 E CITY AVENUE |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730163254 | Nevyas Eye Associates, PC | Specialist | 2 Bala Plaza, 333 E City Ave, Bala Cynwyd, PA 19004 | 2005-11-30 |
| 1396775425 | Charles F Orellana | Internal Medicine | 2 Bala Plaza, Suite Il-27, Bala Cynwyd, PA 19004-1501 | 2006-07-04 |
| 1033151253 | Debra Rasansky, Rpt | Occupational Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-06-12 |
| 1871540799 | Debra Rasansky, Rpt | Physical Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-05-27 |
| 1144285040 | Martin Mark Brown | Dentist | 2 Bala Plaza, Suite Il 41, Bala Cynwyd, PA 19004-1501 | 2006-04-20 |
| 1750345591 | Jennifer Pomykacz | Physical Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-04-17 |
| 1528022316 | Amy Rosenthal-moskow | Occupational Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-04-17 |
| 1992769798 | Carlotta Jones | Physical Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-04-17 |
| 1831153642 | Debbie Goldberg | Physical Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-04-17 |
| 1598729436 | Debra L Rasansky | Physical Therapist | 2 Bala Plaza, Suite Il-47, Bala Cynwyd, PA 19004 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356686414 | Sean Gallagher | Ophthalmology | 423 Marywatersford Rd, Bala Cynwyd, PA 19004-2006 | 2012-11-30 |
| 1073809406 | Fred Kremer | Ophthalmology | 621 Conshohocken State Rd, Bala Cynwyd, PA 19004-2237 | 2011-06-23 |
| 1154438521 | Marvin H. Greenbaum, M.d. PC | Ophthalmology | 501 Belmont Ave, Bala Cynwyd, PA 19004-1302 | 2006-08-23 |
| 1710985460 | Brandon Daniel Ayres | Ophthalmology | 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108 | 2005-07-07 |
| 1881690451 | Vipin K Goyal | Ophthalmology | 333 E City Ave, 2 Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2005-06-28 |
| 1043553332 | Brenton David Finklea | Ophthalmology | 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108 | 2013-04-04 |
| 1730456237 | Andrew J Philips Md | Ophthalmology | 2 Bala Plz, Il 35, Bala Cynwyd, PA 19004-1501 | 2011-11-28 |
| 1811218332 | Elizabeth A Dale | Ophthalmology | 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108 | 2010-06-18 |
| 1295989523 | Keith Jeffrey Mathers | Ophthalmology | 501 Belmont Ave, Bala Cynwyd, PA 19004-1302 | 2008-11-13 |
| 1427217207 | Katie E Schrack | Ophthalmology | 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108 | 2008-06-05 |
| Find all providers in BALA CYNWYD | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.