MRS. STEPHANIE WALLACE (NPI# 1477924082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477924082 |
Entity Type | Individual |
Full Name | MRS. STEPHANIE WALLACE |
Other Name | STEPHANIE RUKASIN |
Credential | PA-C |
Practice Address |
1625 N Campbell Ave Tucson AZ 85719-4330 |
Mailing Address |
3870 W Wild Horse Pl Tucson AZ 85741-1906 |
Practice Telephone | 5206940111 |
Mailing Telephone | 5203079417 |
Enumeration Date | 2015-10-08 |
Last Update Date | 2020-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 6214 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
1033533617 | Stephanie Wallace | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-02-18 |
Street Address |
1625 N CAMPBELL AVE |
City | TUCSON |
State | AZ |
Zip Code | 85719-4330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104816800 | Suelyn D Hall-harper | Urology | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2005-10-24 |
1396345955 | Deanna Lee Merrill | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-31 |
1952900565 | Kayla Mckenna Meyers | Electrodiagnostic Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-23 |
1972110922 | Joel S Silva | Nurse Practitioner | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-09-24 |
1730792672 | Garret Sewell | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-29 |
1144832304 | Suzannah Gallaher | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
1497367502 | Nichole Carrigan | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-19 |
1184236531 | Jeremiah James Palicka | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-18 |
1841802378 | Brittany Ann Rygg | Registered Nurse | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-08-17 |
1891304192 | Nadeem Hussain | Internal Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-07-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
Find all providers in zip 85719 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
Find all providers in TUCSON |
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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.