DONALD W WALLACE (NPI# 1467888537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467888537 |
| Entity Type | Individual |
| Full Name | DONALD W WALLACE |
| Practice Address |
3 Mid Rivers Mall Saint Peters MO 63376-4301 |
| Practice Telephone | 6362781965 |
| Practice Fax Number | 6362781043 |
| Mailing Telephone | 6362781965 |
| Mailing Fax Number | 6362781043 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 2013004501 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEARING AID DISPENSER LICENSE | 2013004501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295864304 | Donald Mcquire Wallace | Dentist | 3700 Old Forest Rd, Lynchburg, VA 24501-6900 | 2007-03-05 |
| 1891856738 | Donald John Wallace | Chiropractor | 127 Smithtown Blvd Ste 21, Nesconset, NY 11767-1736 | 2006-12-13 |
| 1316983372 | Donald K Wallace | Internal Medicine | 102 Gossman Rd, Southern Pines, NC 28387-2224 | 2006-06-20 |
| 1760944813 | Donald Mckinney Wallace | Behavior Technician | 6701 Democracy Blvd, Bethesda, MD 20817-1572 | 2019-04-05 |
| 1497078893 | Donald D Wallace | Physical Therapist | 605 W State St, First Floor, Media, PA 19063-2620 | 2010-03-12 |
| 1700899788 | Donald R. Wallace | Emergency Medicine | 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 2006-08-14 |
| Street Address |
3 MID RIVERS MALL |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972836765 | Daniel E Bozwell | Hearing Instrument Specialist | 54 Circle Way Dr, Saint Peters, MO 63376-6602 | 2009-09-10 |
| 1316372204 | Heartland Hearing Centers LLC | Hearing Instrument Specialist | 1286 Jungermann Rd, Saint Peters, MO 63376-6967 | 2013-09-10 |
| 1104042977 | Robert Allison | Hearing Instrument Specialist | 318 Mid Rivers Mall Dr, Saint Peters, MO 63376-1575 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021665 | Angela Sloan | Hearing Instrument Specialist | 143 Long Rd, Chesterfield, MO 63005-1223 | 2020-07-29 |
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
| 1861040081 | Kristi Cavaness | Hearing Instrument Specialist | 201 S Mount Auburn Rd Ste D, Cape Girardeau, MO 63703-4912 | 2019-08-30 |
| 1154977312 | Kristen Mccorkle | Hearing Instrument Specialist | 4240 Blue Ridge Blvd Ste 200, Kansas City, MO 64133-1704 | 2019-08-14 |
| 1477014090 | Heather Dawn Wright | Hearing Instrument Specialist | 5571 Gretna Rd Ste A, Branson, MO 65616-7646 | 2019-03-27 |
| 1477072924 | Bill Brody Rink | Hearing Instrument Specialist | 2640 E 32nd St Ste 11, Joplin, MO 64804-4311 | 2017-09-15 |
| 1093238800 | Lisa Ann Elmore | Hearing Instrument Specialist | 1001 E Chestnut Expy, Springfield, MO 65802-3625 | 2017-07-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on DONALD W WALLACE.
| 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.