STEVEN EARL WALLACE (NPI# 1457515587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457515587 |
| Entity Type | Individual |
| Full Name | STEVEN EARL WALLACE |
| Credential | RPA |
| Practice Address |
1065 Bucks Lake Rd Quincy CA 95971-9507 |
| Mailing Address |
2704 Ridgerun Rd Quincy CA 95971-9380 |
| Practice Telephone | 5302837155 |
| Practice Fax Number | 5302831838 |
| Mailing Telephone | 5302833504 |
| Mailing Fax Number | 5302831838 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
243U00000X | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779950 | Steven Mark Wallace | Massage Therapist | 1001 W. Oak St. Bldg C. Ste. 210, Bozeman, MT 59715 | 2018-02-02 |
| 1073029864 | Steven E Wallace | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-12-16 |
| 1922461847 | Steven James Wallace | Developmental Therapist | 345a Greenwood St Ste B, Worcester, MA 01607-1753 | 2016-03-29 |
| 1851713952 | Steven Gregory Wallace Jr. | Physician Assistant | 511 W Alexander St, Plant City, FL 33563-7116 | 2014-01-09 |
| 1114986551 | Steven F. Wallace | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2006-03-23 |
| Street Address |
1065 BUCKS LAKE RD |
| City | QUINCY |
| State | CA |
| Zip Code | 95971-9507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137082 | Claude Gregory Freeze | Nurse Anesthetist, Certified Registered | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2005-10-07 |
| 1689045015 | Chavez Emergency Physicians Medical Group, Inc. | Emergency Medicine | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2015-10-12 |
| 1649651936 | Cynthia Warner | Dental Hygienist | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2015-06-12 |
| 1043616428 | Plumas District Hospital | Medicare Defined Swing Bed Unit | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2014-11-12 |
| 1265711253 | Elizabeth P Lewis | Family Medicine | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2011-08-09 |
| 1740570480 | Adriana Uken | Social Worker | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2011-04-14 |
| 1891092052 | Candice Coursey | Nurse Practitioner | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2011-02-23 |
| 1871753624 | Plumas District Hospital | Pharmacy | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2008-06-16 |
| 1649439084 | Erin Marie Barnes | Family Medicine | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2008-06-02 |
| 1598940058 | Andrew Kwokming Tang | Dentist | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2008-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
| 1740782168 | Luis Rubalcava-cunan | Case Manager/Care Coordinator | 270 County Hospital Rd., Suite 109, Quincy, CA 95971 | 2018-03-01 |
| 1831612860 | Matthew Ward | Counselor | 270 County Hospital Rd. #109, Quincy, CA 95971 | 2017-07-21 |
| 1386060697 | Plumas County Public Health Agency | Public Health or Welfare | 270 County Hospital Road, Suite 206, Quincy, CA 95971 | 2014-03-11 |
| 1134314065 | Deborah Shulsinger | Physical Therapist | 76 Crescent St., Quincy, CA 95971 | 2007-09-13 |
| 1053522599 | Gregory Sawyer Dds A PC | Dentist | 2034 E Main St, Quincy, CA 95971 | 2007-05-25 |
| 1043363542 | Sands Traveler Pt, Inc. | Specialist | 76 Cresent, Quincy, CA 95971 | 2007-01-19 |
| 1891847364 | Cf Quincy, LLC | Skilled Nursing Facility | 50 East Central Avenue, Quincy, CA 95971 | 2007-01-17 |
| 1437208220 | Stewart Allen Gately | Dentist | 352 Lawrence St., Quincy, CA 95971 | 2007-01-09 |
| 1215091665 | Marjorie A. Gannon | Marriage & Family Therapist | 711 E. Main Street, Quincy, CA 95971 | 2006-12-20 |
| Find all providers in zip 95971 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809621 | Diane Vincent Sharp | Specialist/Technologist, Other | 180 Leveland Ln Ste 1b, Modesto, CA 95350-2254 | 2020-07-28 |
| 1235791161 | Heidi Henderson | Specialist/Technologist, Other | 10606 Hageman Rd Ste B4, Bakersfield, CA 93312-9109 | 2019-07-01 |
| 1801304621 | Id Acupuncture | Specialist/Technologist, Other | 13851 E 14th St Ste 203, San Leandro, CA 94578-2627 | 2018-01-15 |
| 1528574084 | Laura Becker | Specialist/Technologist, Other | 1155 Palm Ave, Imperial Beach, Imperial Beach, CA 91932-9193 | 2017-12-20 |
| 1225583073 | Kathleen Mcgraw | Specialist/Technologist, Other | 25030 Avenue Stanford Ste 100, Valencia, CA 91355-4505 | 2016-08-22 |
| 1932555042 | Dawn Percer | Specialist/Technologist, Other | 29377 Rancho California Rd Ste 101, Temecula, CA 92591-5206 | 2016-05-06 |
| 1104282177 | Shane Wallin | Specialist/Technologist, Other | 1968 Garnet Ave, San Diego, CA 92109-3555 | 2016-01-06 |
| 1700286804 | Holly Feneht | Specialist/Technologist, Other | 21826 Grovepark Dr, Saugus, CA 91350-1616 | 2014-08-26 |
| 1285057273 | Restorative Ink Specialists | Specialist/Technologist, Other | 1218 Irvine Blvd # 13, Tustin, CA 92780-3531 | 2014-01-27 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 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.