DR. MESHIA KERRY-ANN WALLACE (NPI# 1659635472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659635472 |
| Entity Type | Individual |
| Full Name | DR. MESHIA KERRY-ANN WALLACE |
| Credential | MD |
| Practice Address |
2412 Village Professional Dr S Opelika AL 36801 |
| Mailing Address |
2412 Village Professional Dr S Opelika AL 36801-4742 |
| Practice Telephone | 3345286670 |
| Practice Fax Number | 3345286671 |
| Mailing Telephone | 3345286670 |
| Mailing Fax Number | 3345286671 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 005647 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
36982 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 219026 | 05 |
| Street Address |
2412 VILLAGE PROFESSIONAL DR S |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951303 | Brooke Causland | Nurse Practitioner | 2412 Village Professional Dr S, Opelika, AL 36801-4742 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| 1770899502 | Amanda Layne Elkins | Nurse Practitioner | 1711 Pepperell Parkway, Opelika, AL 36801 | 2010-08-31 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992881460 | Robert H Walkup | Internal Medicine | 121 N 20th St, #6, Opelika, AL 36801-5449 | 2006-10-27 |
| 1861582926 | Shashi Sharma | Internal Medicine | 121 N 20th St, #6, Opelika, AL 36801-5449 | 2006-10-12 |
| 1285722082 | Steven E Dekich | Internal Medicine | 121 N 20th St, #6, Opelika, AL 36801-5449 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680723 | David Patton | Internal Medicine | 3340 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2018-12-06 |
| 1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
| 1396086914 | Alex David Russakoff | Internal Medicine | 4220 Gaines Mill Cir, Mountain Brk, AL 35213-1822 | 2013-03-06 |
| 1447518105 | Adrian Alton Cargill Jr. | Internal Medicine | 3368 Highway 280 Ste 209, Alexander City, AL 35010-3375 | 2012-05-01 |
| 1750552543 | Baldwin County Pulmonary and Sleep Physicians, PC | Internal Medicine | 1298 N Mckenzie St, Foley, AL 36535-3503 | 2008-03-19 |
| 1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
| 1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
| 1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
| 1689738940 | Pulmonary Medicine Associates PC | Internal Medicine | 1022 1st Street No, Suite 401, Alabaster, AL 35007-8718 | 2006-12-21 |
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
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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.