DR. BRETT E WALLACE (NPI# 1518943604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518943604 |
| Entity Type | Individual |
| Full Name | DR. BRETT E WALLACE |
| Credential | MD |
| Practice Address |
2660 Sw 3rd St Topeka KS 66606 |
| Mailing Address |
2660 Sw 3rd St Topeka KS 66606-2442 |
| Practice Telephone | 7852708880 |
| Practice Fax Number | 7852704589 |
| Mailing Telephone | 7852708880 |
| Mailing Fax Number | 7852704589 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 04-21849 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100205880B | 05 | |
| KS | MEDICARE PTAN | 068002052 | 01 |
| KS | 100205880A | 05 |
| Street Address |
2660 SW 3RD ST |
| City | TOPEKA |
| State | KS |
| Zip Code | 66606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166143 | Michael T Mccoy | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2005-09-29 |
| 1366041477 | Krista Keberlein | Physical Therapy Assistant | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2020-10-20 |
| 1740808609 | Megan Reddy | Physical Therapist | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2020-07-08 |
| 1912529629 | Derek Scott Hammer | Physician Assistant | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2020-05-15 |
| 1326673971 | Gabrielle Ruth Phippen Gingrich | Nurse Practitioner | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2020-03-04 |
| 1093364739 | Amanda Platt | Speech-Language Pathologist | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2019-09-05 |
| 1700341716 | Erin Greer | Physician Assistant | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2019-02-04 |
| 1962994921 | Avery L Hill | Physical Therapist | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2018-06-05 |
| 1902398399 | Nicole Marie Goetz | Physical Therapist | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2018-06-01 |
| 1326538125 | Matt Coates | Physical Therapy Assistant | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2018-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843198 | Ashley Biggs | Nurse Practitioner | 823 Sw Mulvane, Ste 200, Topeka, KS 66606 | 2019-10-21 |
| 1952969925 | Danielle Marie Spencer | Physician Assistant | 823 Sw Mulvane, Ste 330, Topeka, KS 66606 | 2019-06-04 |
| 1174084545 | Samantha Brummell | Social Worker | 3707 Sw 6th, Topeka, KS 66606 | 2019-03-28 |
| 1659810372 | Jayme Jo Mejia | Nurse Practitioner | 200 Sw Frazier Circle, Topeka, KS 66606 | 2017-02-14 |
| 1497122139 | Andrew Q Etheridge | Case Manager/Care Coordinator | 325 Sw Frazier, Family Service & Guidance Center, Topeka, KS 66606 | 2015-08-28 |
| 1962817254 | Kelsie Maxwell | Clinic/Center | 1315 Sw 6th Ave Suite B, Topeka, KS 66606 | 2014-06-25 |
| 1548684202 | Kimberly Ann Spencer | Counselor | 1500 Sw 10th Avenue, Topeka, KS 66606 | 2014-02-14 |
| 1730501859 | Ryan Kemp-pappan | Counselor | Valeo Behavioral Health Care, 330 Sw Oakley Ave, Topeka, KS 66606 | 2014-01-08 |
| 1750710935 | Dia L Orear | Nurse Practitioner | 1700 Sw 7th Street, 2nd Floor, Topeka, KS 66606 | 2013-11-07 |
| 1609174523 | Elizabeth Husted | Community Health Worker | 5301 Sw 7th St., Topeka, KS 66606 | 2011-03-01 |
| Find all providers in zip 66606 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124563093 | Tallgrass Orthopedic and Sports Medicine LLC | Orthopaedic Surgery | 6730 Sw Mission View Dr, Suite 200, Topeka, KS 66614-5652 | 2016-12-30 |
| 1871933507 | David Edward Thurston | Orthopaedic Surgery | 5120 Redbud Lane, Topeka, KS 66606-2267 | 2013-06-26 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1083690499 | Peter S Lepse | Orthopaedic Surgery | 2660 Sw 3rd St., Topeka, KS 66606 | 2005-12-16 |
| 1639166143 | Michael T Mccoy | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2005-09-29 |
| 1831486810 | Jacob C Deister | Orthopaedic Surgery | 2660 Sw 3rd St, Topeka, KS 66606-2442 | 2011-06-29 |
| 1609006626 | Cotton Oneil Clinic Revocable Trust | Orthopaedic Surgery | 909 Sw Mulvane St, Topeka, KS 66606-1677 | 2009-07-24 |
| 1609004613 | Shaun Fay Steeby | Orthopaedic Surgery | 823 Sw Mulvane St, Topeka, KS 66606-1764 | 2009-06-29 |
| 1558599795 | Steven Gregory Anderson | Orthopaedic Surgery | 6001 Sw 6th Ave, Suite 200, Topeka, KS 66615 | 2009-06-25 |
| 1407013071 | Benedict F Figuerres | Orthopaedic Surgery | 6001 Sw 6th Ave, Suite 200, Topeka, KS 66615 | 2008-05-20 |
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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.