DAVID ALEXANDER WALLACE (NPI# 1619596335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619596335 |
| Entity Type | Individual |
| Full Name | DAVID ALEXANDER WALLACE |
| Practice Address |
920 Madison Ave Ste 447 Memphis TN 38103-3438 |
| Mailing Address |
60 S Main St Apt 103 Memphis TN 38103-5173 |
| Practice Telephone | 9014482782 |
| Practice Fax Number | 9014488468 |
| Mailing Telephone | 6153516072 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700327061 | David Wallace | Student in an Organized Health Care Education/Training Program | 24606 Mosquero Ln, Mission Viejo, CA 92691-4913 | 2017-03-19 |
| 1265743595 | David R Wallace Jr. | Radiology | 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 | 2010-07-01 |
| 1386868487 | David Stuart Wallace | Chiropractor | 2330 Highway 94 South Outer Rd, Saint Charles, MO 63303-8301 | 2007-04-12 |
| 1649343641 | David Michael Wallace | Chiropractor | 112 W Grand Ave, Rainbow City, AL 35906-3233 | 2006-11-16 |
| 1932193604 | David Wallace | Anesthesiology | 738 Golden Pheasant Dr, Draper, UT 84020-8454 | 2005-09-08 |
| 1386646206 | David Allen Wallace | Dentist | 206 S Walker St, Princeton, WV 24740-2747 | 2005-08-11 |
| 1295736809 | David B. Wallace | Radiology | 325 N Highland Ave, Provena Mercy Medical Center, Aurora, IL 60506-3811 | 2005-08-04 |
| 1679576276 | David Alan Wallace | Ophthalmology | 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 | 2005-05-27 |
| 1396364402 | David Carter Wallace | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-09 |
| 1720646672 | David Wallace | Physician Assistant | 1 Hospital Plz, Stamford, CT 06902-3602 | 2019-06-04 |
| Street Address |
920 MADISON AVE STE 447 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023244357 | Amie Rae Miller | Plastic Surgery | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2009-06-01 |
| 1568077147 | Asaf Fishelevitz | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-09-10 |
| 1992323760 | Jillian Elaine Broughton | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-07-08 |
| 1275156945 | Caleb Judge | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-28 |
| 1922621309 | Andrew G Moore | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-20 |
| 1871115931 | David Smith Marshall II | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-12 |
| 1649892803 | Meher Farooq | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-11 |
| 1023630449 | Lindsey Dawn Burton | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-07 |
| 1962023556 | Amena Raja Alkeswani | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-05 |
| 1235750050 | Lindsay Marie Wise | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252013 | Rhaina Johnson | Student in an Organized Health Care Education/Training Program | 2639 Central Ave Apt V1, Memphis, TN 38104-5954 | 2020-07-20 |
| 1821606021 | Stephanie Bell | Student in an Organized Health Care Education/Training Program | 5091 Windcrest Rd, Memphis, TN 38116-8526 | 2020-07-14 |
| 1245857077 | Melissa Rodriguez Analco | Student in an Organized Health Care Education/Training Program | 4343 Emily Ave, Memphis, TN 38122-4822 | 2020-06-27 |
| 1316564321 | Piper Black | Student in an Organized Health Care Education/Training Program | Uthsc College of Nursing 920 Madison Avenue, Memphis, TN 38163-0001 | 2020-06-26 |
| 1225654726 | Karen Y Wilson | Student in an Organized Health Care Education/Training Program | The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 | 2020-06-19 |
| 1881216356 | Asif Jamal | Student in an Organized Health Care Education/Training Program | 865 Jefferson Ave Ste F150, Memphis, TN 38103-2807 | 2020-05-07 |
| 1992325468 | Zebin Mohammad Al Zebin | Student in an Organized Health Care Education/Training Program | 288 Night Sail Dr S Apt 107, Memphis, TN 38103-1724 | 2020-04-24 |
| 1922627637 | Krystal Lugo | Student in an Organized Health Care Education/Training Program | 3940 Summer Breeze Cv, Memphis, TN 38125-2840 | 2020-04-13 |
| 1336768092 | Preeti Singh | Student in an Organized Health Care Education/Training Program | 853 Jefferson Chandler F150, Memphis, TN 38163-0001 | 2020-04-13 |
| 1588283410 | Elizabeth Chandler Lee | Student in an Organized Health Care Education/Training Program | 545 Club Walk, Memphis, TN 38111-3200 | 2020-04-10 |
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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.