DR. EDWARD WALLACE (NPI# 1659303758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659303758 |
| Entity Type | Individual |
| Full Name | DR. EDWARD WALLACE |
| Credential | M.D. |
| Practice Address |
5555 W Thunderbird Rd Glendale AZ 85306-4622 |
| Mailing Address |
2000 Spring Rd Ste 200 Oak Brook IL 60523-1956 |
| Practice Telephone | 6025885555 |
| Mailing Telephone | 6304728800 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 30182 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609998129 | Edward C Wallace | Chiropractor | 5305 Herbert Hoover Hwy Ne, West Branch, IA 52358-9543 | 2007-04-04 |
| 1902963283 | Edward Reilly Wallace | Anesthesiology | 2502 Anacapa St, Santa Barbara, CA 93105-3512 | 2007-01-03 |
| 1255486452 | Edward Alton Wallace | Anesthesiology | 300 Singleton Ridge Rd, Conway, SC 29526-9142 | 2007-01-25 |
| Street Address |
5555 W THUNDERBIRD RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194677 | Christopher David Sullivan | Emergency Medical Technician, Paramedic | 5555 W Thunderbird Rd, Glendale, AZ 85306 | 2005-09-20 |
| 1134746597 | Samantha Borbely | Registered Nurse | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-07-01 |
| 1891319380 | Amy Robinson | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-06-01 |
| 1538709134 | Teresa Socio | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-10 |
| 1861032773 | Amy Suzanne Mabry | Pediatrics | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-08 |
| 1558907311 | Edim Musa | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-11-26 |
| 1437623717 | Camile Fabrigail Solidum | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-01-19 |
| 1730660119 | Melissa England | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-08-23 |
| 1477047520 | Ashley Blair Forester | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-06-20 |
| 1063912574 | Adrian Senh Long | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1235652777 | Highlands Ranch Healthcare LLC | Emergency Medicine | 4500 Leetsdale Dr, Glendale, CO 80246-1215 | 2017-07-17 |
| 1841680204 | Marianne Burke | Emergency Medicine | 1146 N Central Ave # 177, Glendale, CA 91202-2506 | 2015-01-23 |
| 1265675060 | Michelle Chase | Emergency Medicine | 18221 N 66th Ln, Glendale, AZ 85308-1014 | 2009-04-09 |
| 1326227232 | May Jim Yen | Emergency Medicine | 413 S Central Ave, Suite A153, Glendale, CA 91204-1640 | 2007-10-26 |
| 1790870210 | Samuel F Johnson | Emergency Medicine | 5555 West Thunderbird Road, Glendale, AZ 85306 | 2006-10-03 |
| 1760406771 | Lon Miller | Emergency Medicine | 4120 W Soft Wind Dr, Glendale, AZ 85310-4000 | 2006-07-26 |
| 1164476347 | Nady I Eskarous | Emergency Medicine | 801 S Chevy Chase Dr Ste 105, Glendale, CA 91205-4432 | 2006-05-20 |
| 1720032360 | H James Kojian II | Emergency Medicine | 1648 W Glenoaks Blvd Ste 101, Glendale, CA 91201-1827 | 2006-05-19 |
| 1538119052 | Lance Stuart Burns | Emergency Medicine | 18701 N 67th Avenue, Arrowhead Community Hospital, Glendale, AZ 85308 | 2006-05-12 |
| Find all providers in GLENDALE | ||||
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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.