DR. JOHN G WALLACE (NPI# 1346379161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346379161 |
| Entity Type | Individual |
| Full Name | DR. JOHN G WALLACE |
| Credential | M.D. |
| Practice Address |
17515 N Park Pl N Shoreline WA 98133-4803 |
| Practice Telephone | 2065332158 |
| Practice Fax Number | 2065332158 |
| Mailing Telephone | 2065332158 |
| Mailing Fax Number | 2065332158 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
00008964 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023508868 | John E Wallace | Physical Therapist | 1060 Nimitzview Dr Ste 205, Cincinnati, OH 45230-4351 | 2018-05-17 |
| 1679900161 | John D Wallace | Counselor | 1455 Nw 53rd St Apt 222, Miami, FL 33142 | 2013-09-30 |
| 1437590973 | John Burton Wallace V | Social Worker | 141 S 5th St Ofc East, Brooklyn, NY 11211 | 2013-07-12 |
| 1346517307 | John Widtsoe Wallace | Specialist | 1091 Southport Dr, Medina, OH 44256-3019 | 2011-11-18 |
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 1629241070 | John Dean Wallace Jr. | Dentist | 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 | 2008-04-08 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1841359775 | John Thomas Wallace | Chiropractor | 3314 Us Highway 431, Albertville, AL 35950 | 2006-12-06 |
| 1316038839 | John Kline Wallace | Dentist | 2501 Princess Anne St, Fredericksburg, VA 22401-3333 | 2006-09-28 |
| 1144333261 | John Henry Wallace | Dentist | 583 Moull St, Newark, OH 43055-2909 | 2006-08-15 |
| Street Address |
17515 N PARK PL N |
| City | SHORELINE |
| State | WA |
| Zip Code | 98133-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518976828 | Christine Suydam | Psychiatry & Neurology | 1201 N 175th St, Shoreline, WA 98133-5064 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952766 | Nvelup Telehealth Pllc | Psychiatry & Neurology | 804 N Monroe St Ste 502, Spokane, WA 99201-2110 | 2020-08-11 |
| 1609493105 | Voyager Behavioral Health Pllc | Psychiatry & Neurology | 1715 W Rain Ln, Spokane, WA 99208-5091 | 2020-06-30 |
| 1962027045 | Peter Lucas, Pllc | Psychiatry & Neurology | 10191 Ne Beach Crest Dr, Bainbridge Island, WA 98110-1368 | 2020-06-15 |
| 1285269449 | Helpprn Pllc | Psychiatry & Neurology | 7006 40th Ave Ne, Seattle, WA 98115-6006 | 2020-03-09 |
| 1700436367 | Danielle Roche Paschall | Psychiatry & Neurology | 102 23rd Ave Se Ste A, Puyallup, WA 98372-4501 | 2019-09-16 |
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1154987931 | Advanced Wellness Mental Health, Pllc | Psychiatry & Neurology | 26828 Maple Valley Highway, #202, Maple Valley, WA 98038-1262 | 2019-05-16 |
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1881162345 | Jillian Yoshimoto Do Pllc | Psychiatry & Neurology | 7100 132nd Pl Se Apt 106, Newcastle, WA 98059-3149 | 2018-11-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| Find all providers with the same taxonomy | ||||
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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.