MARTHA C. WALLACE (NPI# 1356481113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356481113 |
| Entity Type | Individual |
| Full Name | MARTHA C. WALLACE |
| Other Name | MARCY C. WALLACE |
| Credential | B.A., M.A., CCC-A |
| Practice Address |
2101 N Midland Dr Suite 4 Midland TX 79707-5507 |
| Mailing Address |
7800 S County Road 1265 Midland TX 79706-6025 |
| Practice Telephone | 4326894327 |
| Practice Fax Number | 4326894329 |
| Mailing Telephone | 4325618364 |
| Mailing Fax Number | 4326894329 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 3174 | NM | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | 51438 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE NUMBER | 51438 | 01 |
| NM | 43209211 | 05 | |
| TX | 1742454 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639172158 | Martha Cochran Wallace | Dentist | 1400 6th Ave S, Birmingham, AL 35233-1502 | 2005-05-30 |
| 1073695722 | Martha E Wallace | Physical Therapist | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2006-10-20 |
| Street Address |
2101 N MIDLAND DR SUITE 4 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79707-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284025 | Stacy Jay Meeks | Chiropractor | 2101 N Midland Dr, Ste 6, Midland, TX 79707-5593 | 2005-06-02 |
| 1306286794 | Audio Acoustics Testing and Diagnostics of Midland, LLC. | Audiologist | 2101 N Midland Dr, Suite 4, Midland, TX 79707-5507 | 2013-06-28 |
| 1861550055 | Mark King | Dentist | 2101 N Midland Dr, Suite 14, Midland, TX 79707-5507 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1396196036 | Endurance Inc | Pharmacy | 4906 Briarwood, Midland, TX 79707 | 2016-06-23 |
| 1841683356 | Carson Riley Phillips | Dentist | 4425 W Wadley Ave Ste 100, Midland, TX 79707 | 2015-03-07 |
| 1336538610 | Permian Basin Er II | Clinic/Center | 3201 N. Midland Drive, Ste 130, Midland, TX 79707 | 2015-01-09 |
| 1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
| 1982958799 | Tara Rae Nagel | Nurse Practitioner | 4214 Mamies Cir, Midland Pediatric Associates, Midland, TX 79707 | 2012-10-31 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1053626622 | Jerry Milton Lyon | Nurse Practitioner | 5000 Briarwood Ave Ste 203, Midland, TX 79707 | 2010-08-08 |
| 1053645838 | Marta Willoughby Md Pa | Clinic/Center | 3423 Caldera, Midland, TX 79707 | 2009-09-25 |
| 1326251950 | Bonnie Lloyd Clemmer | Registered Nurse | 3600 W Loop 250 North, Apt 1083, Midland, TX 79707 | 2007-05-08 |
| Find all providers in zip 79707 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205136744 | Sarah Elizabeth Johnson | Audiologist | 3303 N Midkiff Rd, Suite 168, Midland, TX 79705-4828 | 2010-11-01 |
| 1194904003 | Andrea Lela Nava | Audiologist | 1005 W Wall St, Midland, TX 79701-6637 | 2007-10-26 |
| 1982890075 | Enterprise Hearing Centers Inc | Audiologist | 4410 N. Midkiff Rd., Suite D-4, Midland, TX 79705 | 2007-09-21 |
| 1639391451 | Celia Iliana Miranda | Audiologist | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2007-05-02 |
| 1134269780 | Orland Purcell | Audiologist | 2101 N Midland Dr Ste 4, Midland, TX 79707-5593 | 2007-02-06 |
| 1356956684 | Joycelin Vicky Lopez | Audiologist | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2020-09-14 |
| 1306286794 | Audio Acoustics Testing and Diagnostics of Midland, LLC. | Audiologist | 2101 N Midland Dr, Suite 4, Midland, TX 79707-5507 | 2013-06-28 |
| 1477999142 | Lend Me Your Ear, L.p. | Audiologist | 3303 N Midkiff Rd, Ste 168, Midland, TX 79705-4828 | 2013-05-21 |
| 1922278811 | All About Hearing, Inc. | Audiologist | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2008-03-06 |
| 1427250489 | Audio Acoustics Hearing Centers of Midland, Inc. | Audiologist | 2101 N Midland Dr Ste 4, Midland, TX 79707-5593 | 2007-06-01 |
| Find all providers in MIDLAND | ||||
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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.