THOMAS W WALLACE


Address: 180 Grand Ave Ste 100, Oakland, CA 94612-3766
Phone: 5102084700

THOMAS W WALLACE (NPI# 1386789147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386789147
Entity Type Individual
Full Name THOMAS W WALLACE
Credential M.D.
Practice Address 180 Grand Ave Ste 100
Oakland
CA 94612-3766
Practice Telephone 5102084700
Practice Fax Number 5102084540
Mailing Telephone 5102084700
Mailing Fax Number 5102084540
Enumeration Date 2007-02-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
C37624 CA Allopathic & Osteopathic Physicians

Other Providers THOMAS WALLACE

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1124021696 Thomas R Wallace Ophthalmology 211 Mcauley Ct, Hot Springs, AR 71913-6314 2005-05-27
1316547342 Thomas E Wallace IIi Pharmacist 1571 Forest Ave, Staten Island, NY 10302-2226 2020-10-28
1023499217 Thomas Wallace Massage Therapist 17205 Vashon Hwy Sw, Suite B2, Vashon, WA 98070-4674 2015-06-12
1275945354 Thomas Wallace Jr. Counselor 1646 S Court St, Visalia, CA 93277-4962 2014-05-23
1265787147 Thomas Danville Wallace Pharmacy Technician 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 2012-07-17
1801942933 Thomas Clyde Wallace Psychiatry & Neurology 10 Congress St, Suite 360, Pasadena, CA 91105-3023 2007-01-25
1679641666 Thomas M Wallace Internal Medicine 1441 Florida Ave, Modesto, CA 95350-4405 2006-11-30
1295807733 Thomas Witherspoon Wallace Internal Medicine 10100 Kanis Rd, Little Rock, AR 72205-6202 2006-11-13
1639251416 Thomas A Wallace Social Worker 254 N Washington St, Falls Church, VA 22046-4517 2006-10-20
1811089006 Thomas K Wallace Nurse Anesthetist, Certified Registered 800 E 28th St, Minneapolis, MN 55407-3723 2006-09-28

Office Location

Street Address 180 GRAND AVE STE 100
City OAKLAND
State CA
Zip Code 94612-3766

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881739639 Michael F. Charles Orthopaedic Surgery 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1114062924 James S Robbins Psychiatry & Neurology 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1720123516 Robert M. Murphy Orthopaedic Surgery 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1164567053 Jacquelyn A Weiss Psychiatry & Neurology 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1245375146 Richard G Baker Orthopaedic Surgery 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1962547703 Sandra H. Klein Clinical Neuropsychologist 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1245375013 Claude S. Munday Clinical Neuropsychologist 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1265577068 Nicole Chitnis Pain Medicine 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1003951880 Buenor D. Puplampu Neurological Surgery 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1235274192 Frederic H. Newton Psychiatry & Neurology 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766284 Olivia Vega Behavior Technician 155 Grand Ave Suite 500, Oakland, CA 94612 2020-09-25
1700418001 Thera Share Counselor 1714 Franklin St #411, Oakland, CA 94612 2020-02-05
1386284644 Nicole Yolanda Satterfield Behavioral Analyst 180 Grand, Oakland, CA 94612 2020-01-14
1992365514 Integrative Fertility Acupuncturist 449 15th St, #101, Oakland, CA 94612 2019-06-17
1578029500 Emma Noble Hearing Instrument Specialist 2201 Broadway Ste 328, Oakland, CA 94612 2019-02-14
1992299143 Lutchmia Lizonia Engelbrecht Community Health Worker 160 14th St Apt 501, Oakland, CA 94612 2018-06-20
1417446444 Ruth L Richards Psychiatry & Neurology 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 2018-05-04
1033618384 Thomas Plumber Case Manager/Care Coordinator 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 2018-02-01
1992221774 Victoria Davina Casillas Counselor 559 16th Street, Oakland, CA 94612 2017-08-14
1356864854 Mackenzie Sodestrom Marriage & Family Therapist 287 17th St Ste 205, Oakland, CA 94612 2017-07-17
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477760866 Janice M. Garvey Psychiatry & Neurology 7677 Oakport St, Rceb Suite 300, Oakland, CA 94621-1929 2007-05-17
1134562234 Nathan Gaines Psychiatry & Neurology 1411 E 31st St, Oakland, CA 94602 2013-04-09
1639319718 Lauren Marie Oommen Psychiatry & Neurology 1411 E 31st St, Oakland, CA 94602-1018 2009-03-02
1013183813 Iris Yung Psychiatry & Neurology 3701 Broadway, Oakland, CA 94611-5613 2008-05-01
1871773804 Dr. Stewart Callis Psychiatry & Neurology 317 E Oak St, Oakland, MD 21550-1503 2007-11-07
1922205442 Associated Neurology Medical Group, Inc. Psychiatry & Neurology 365 Hawthorne Ave, Suite 203, Oakland, CA 94609-3107 2007-06-28
1164567053 Jacquelyn A Weiss Psychiatry & Neurology 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1235274192 Frederic H. Newton Psychiatry & Neurology 180 Grand Ave Ste 100, Oakland, CA 94612-3766 2007-02-20
1265574388 Judy Chang Psychiatry & Neurology 818 Webster St, Oakland, Oakland, CA 94607-4220 2007-02-13
1508916321 Atefeh Hosseini Psychiatry & Neurology 275 W Macarthur, Oakland, CA 94611-5641 2007-01-12
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94612

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Dataset Information

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.

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