JEFFREY MICHAEL WALLACE


Address: 600 Caisson Hill Rd, Fort Riley, KS 66442-7037
Phone: 7852397000

JEFFREY MICHAEL WALLACE (NPI# 1619392974) 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) 1619392974
Entity Type Individual
Full Name JEFFREY MICHAEL WALLACE
Practice Address 600 Caisson Hill Rd
Fort Riley
KS 66442-7037
Practice Telephone 7852397000
Mailing Telephone 7852397000
Enumeration Date 2014-02-24
Last Update Date 2014-02-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEFFREY WALLACE

NPI Name Taxonomy Address Enumeration
1629089156 Jeffrey S Wallace Orthopaedic Surgery 6800 Heritage Pkwy Ste 102, Rockwall, TX 75087-8746 2006-08-10
1821014838 Jeffrey W Wallace Dentist 74 Grafton Rd, Townshend, VT 05353-0262 2006-07-14
1568499234 Jeffrey A. Wallace I Pharmacist 5420 Lancaster Dr, Kaiser Permanente Pharmacy Administration, Brooklyn Heights, OH 44131-1832 2006-06-27
1679563928 Jeffrey David Wallace Chiropractor 820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188 2005-10-27
1548262108 Jeffrey Leigh Wallace Preventive Medicine 411 N Section St, Fairhope, AL 36532-2649 2005-08-12
1538557012 Jeffrey Eugene Wallace Counselor 400 S Jefferson St Ste 200, Spokane, WA 99204-3143 2015-01-06
1306006796 Jeffrey Robert Wallace Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Building B Suite 2300, Atlanta, GA 30322-1013 2008-06-10
1649479171 Jeffrey W Wallace Physician Assistant 112 Piper Hill Dr, First Floor, Saint Peters, MO 63376-1690 2007-07-14
1215027990 Jeffrey Wallace Internal Medicine 12605 E 16th Ave, Aurora, CO 80045-2545 2006-10-13
1003866419 Jeffrey Neil Wallace Chiropractor 330 140 Village Rd, Unit 9a, Westminster, MD 21157-6127 2006-05-10

Office Location

Street Address 600 CAISSON HILL RD
City FORT RILEY
State KS
Zip Code 66442-7037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124637350 Elizabeth Ann Cintron Pharmacist 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2020-07-23
1134628142 Alexander C Vos Pharmacist 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2018-02-05
1457887408 Kathleen Patricia Patterson Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2017-05-11
1275069163 Gary Gordan Olund II Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2017-05-11
1447792486 Axel Wolff Physical Therapist 600 Caisson Hill Rd, Bldg 650, Fort Riley, KS 66442-7037 2016-11-08
1447601232 Jordan Dukes Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2016-06-23
1992161103 Amanda Nelson Pharmacist 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2016-01-05
1548625072 Michael W Swann Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2015-12-29
1477945111 Kristy Koontz Social Worker 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2015-03-03
1982013561 Rod Laird Physician Assistant 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 2014-08-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144821588 Leona Marie Walker Registered Nurse Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 2020-11-03
1306392915 Tiffany Sapp Dental Assistant 7670 Estes Rd, Ft. Riley, KS 66442 2016-09-01
1326594938 Kamilla Evans Dental Assistant Building 7670 Estes Road, Apo, AA 66442 2016-09-01
1073970547 Raymond Justin Myles Jr. Psychologist 609a Warrior Road, Fort Riley, KS 66442 2016-01-28
1669864096 Luann Underwood Counselor 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 2015-02-23
1043622954 Daniel K. Schuerch Social Worker 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 2014-05-27
1295146223 Logan Robert Gorges Emergency Medicine 814 Marshall Dr, Fort Riley, KS 66442 2014-05-13
1518386127 Irwin Army Community Hospital Clinic/Center Normandy Drive Bldg 7665, Ft Riley, KS 66442 2014-04-10
1326465832 Irwin Army Community Hospital Clinic/Center 7006 Normandy Ave, Ft Riley, KS 66442 2014-03-21
1770905812 Caryn Deborah Wayne Physician Assistant Fort Riley, Apo, AA 66442 2014-01-08
Find all providers in zip 66442

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992341465 Brian Arthur Clever Physician Assistant 7672 Estes Rd, Fort Riley, KS 66442-5778 2019-11-20
1639731037 Daniel Lagutchik Physician Assistant Bldg. 814, Marshall Dr, Fort Riley, KS 66442-1317 2019-07-05
1922194505 Brian David Calkins Physician Assistant Irwin Army Community Hosipital, 600 Cassion Hill Rd, Fort Riley, KS 66442-5037 2006-10-04
1093809717 Bertis Thomas Mcmillan Physician Assistant 600 Caisson Hill Road Attn: Mcxx-cld-qm (credentials), Irwin Army Community Hospital Attn: Mrs Terry L. Hill, Fort Riley, KS 66442-5037 2006-10-03
1306847843 Debbie A Roper Physician Assistant 650 Huebner Rd, Fort Riley, KS 66442 2005-08-09
1760017420 Dallas Tristan Mason Physician Assistant 650 Huebner Rd, Fort Riley, KS 66442-4030 2020-03-03
1306482484 Matthew Scott Poe Physician Assistant 650 Huebner Rd, Fort Riley, KS 66442-4030 2019-11-22
1336701911 Jordan Joseph Clark Physician Assistant 8072 Normandy Dr, Fort Riley, KS 66442-7069 2019-07-03
1144882929 Regina Anne Costanzo Physician Assistant 650 Huebner Rd, Fort Riley, KS 66442-4030 2019-07-02
1184184590 Jordan Burgess Physician Assistant 8072 Normandy Dr, Fort Riley, KS 66442-7069 2019-03-21
Find all providers in FORT RILEY

Competitor

Search similar providers

City FORT RILEY
Zip Code 66442

Improve Information

Please comment or provide details below to improve the information on JEFFREY MICHAEL WALLACE.

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.

Trending Searches