DR. WESLEY ROBERT WALLACE (NPI# 1689877102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689877102 |
| Entity Type | Individual |
| Full Name | DR. WESLEY ROBERT WALLACE |
| Credential | M.D. |
| Practice Address |
21 E Hollis St Nashua NH 03060-2928 |
| Mailing Address |
18 Canoe Ln Moultonborough NH 03254-4941 |
| Practice Telephone | 6035774000 |
| Mailing Telephone | 6032539046 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5806 | NH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467659565 | Wesley M Wallace | Emergency Medicine | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2007-07-02 |
| Street Address |
21 E HOLLIS ST |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268285 | David Merrill Kaufmann | Podiatrist | 21 E Hollis St, Nashua, NH 03060-2928 | 2005-10-07 |
| 1316229669 | Kathryn Anne Bomba | Genetic Counselor, MS | 21 E Hollis St, Nashua, NH 03060-2928 | 2011-09-13 |
| 1285833210 | Sadaf Ashraf | Internal Medicine | 21 E Hollis St, Nashua, NH 03060-2928 | 2007-07-11 |
| 1043370950 | Susan E Krasner | Advanced Practice Midwife | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-12-11 |
| 1407916562 | Jessica M Goehringer | Genetic Counselor, MS | 21 E Hollis St, Dept of Obgyn, Nashua, NH 03060-2928 | 2006-12-11 |
| 1760586465 | Susan Riley | Advanced Practice Midwife | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-09-12 |
| 1699877134 | Elizabeth Reid Mcmillan | Family Medicine | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-09-04 |
| 1033229422 | Stacey Ann Abbis | Surgery | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-08-30 |
| 1972513810 | Heather Feltmate | Obstetrics & Gynecology | 21 E Hollis St, Dartmouth Hitchcock - Ob/gyn, Nashua, NH 03060-2928 | 2006-08-09 |
| 1285643114 | Kenneth J. Weintraub | Orthopaedic Surgery | 21 E Hollis St, Nashua, NH 03060-2928 | 2006-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| 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 |
|---|---|---|---|---|
| 1235779653 | Northeastern Surgical Specialists | Orthopaedic Surgery | 168 Kinsley St Ste 2, Nashua, NH 03060-3634 | 2020-01-14 |
| 1578856332 | Edward A Sirlin IIi | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2011-05-25 |
| 1477658060 | Ralph Robinson Wolf | Orthopaedic Surgery | 159 Kinsley Street, Nashua, NH 03060-3795 | 2006-09-14 |
| 1467947184 | Taylor Anne Cassidy | Orthopaedic Surgery | 2300 Southwood Dr, Nashua, NH 03063-1818 | 2018-06-25 |
| 1356752810 | Peter Matthew Eyvazzadeh | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2014-05-17 |
| 1033529409 | Anand Padmanabha | Orthopaedic Surgery | 17 Prospect St Ste N203, Nashua, NH 03060-3964 | 2014-05-06 |
| 1164832770 | Bryan Bean | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2014-05-05 |
| 1295174753 | Matthew Walter Wilkening | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2013-06-18 |
| 1912340472 | Andrew Garber | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062 | 2013-04-14 |
| 1104169416 | Christian Matthew Klare | Orthopaedic Surgery | 17 Riverside St Ste 101, Nashua, NH 03062-1383 | 2013-04-04 |
| Find all providers in NASHUA | ||||
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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.