DOUGLAS WALLACE (NPI# 1730794041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730794041 |
| Entity Type | Individual |
| Full Name | DOUGLAS WALLACE |
| Practice Address |
95 Post Office Park Wilbraham MA 01095-1248 |
| Mailing Address |
128 Garland St Springfield MA 01118-2219 |
| Practice Telephone | 4135990430 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 494 | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376698753 | Douglas W. Wallace | Oral & Maxillofacial Surgery | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-01-24 |
| 1063451144 | Douglas C Wallace | Family Medicine | 3154 Park St, Grove City, OH 43123-3222 | 2006-06-05 |
| 1285098806 | Douglas Wallace | Emergency Medicine | 625 19th St S, Birmingham, AL 35233 | 2016-04-09 |
| 1811181498 | Douglas Cecil Wallace | Medical Genetics, Ph.D. Medical Genetics | 2014 Hewitt Hall, University of California Irvine, Irvine, CA 92697-3940 | 2007-08-28 |
| 1013058932 | Douglas Mckay Wallace | Psychiatry & Neurology | 1201 Nw 16th St, Miami Va Medical Center, Dept of Neurology, Miami, FL 33125-1624 | 2007-02-12 |
| 1851470033 | Douglas Charles Wallace | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way, Ste 201, Lafayette, IN 47905-4923 | 2006-11-06 |
| 1881657989 | Douglas M Wallace | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2006-04-10 |
| 1083608053 | Douglas W Wallace | Radiology | 2300 Manchester Expy, Ste A001, Columbus, GA 31904-6802 | 2005-09-07 |
| Street Address |
95 POST OFFICE PARK |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093904138 | Wendi Woods Mulligan | Occupational Therapist | 95 Post Office Park, Wilbraham, MA 01095-1248 | 2007-10-15 |
| 1861721300 | Valley Podiatry Associates PC | Podiatrist | 95 Post Office Park, Suite 9525, Wilbraham, MA 01095-1248 | 2009-12-11 |
| 1730327081 | Helena Rosa Pereira | Speech-Language Pathologist | 95 Post Office Park, Wilbraham, MA 01095-1248 | 2009-01-24 |
| 1174760094 | Small Measures LLC | Clinic/Center | 95 Post Office Park, Suite A, Wilbraham, MA 01095-1248 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922636307 | Jessica Christian Barry | Hearing Instrument Specialist | 2133 Boston Rd Ste 6a, Wilbraham, MA 01095-1269 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346857042 | Courtney Lauren Weigand | Hearing Instrument Specialist | 269 Winter St, Hyannis, MA 02601-2962 | 2020-09-26 |
| 1316574940 | Michael Mastroianni | Hearing Instrument Specialist | 19 Westfield St, West Springfield, MA 01089-2505 | 2020-03-24 |
| 1033745179 | Lisa Marie Mcnamara | Hearing Instrument Specialist | 354 Main St Ste 4, Gardner, MA 01440-3057 | 2020-03-20 |
| 1033743885 | Vilma Haddad | Hearing Instrument Specialist | 84 Rt 6a, Orleans, MA 02653-2411 | 2020-03-02 |
| 1649814369 | Mary A Taddie | Hearing Instrument Specialist | 152 Lynnway Ste 1a, Lynn, MA 01902-3420 | 2019-11-06 |
| 1447804505 | Traci M D'agostino | Hearing Instrument Specialist | 683 James St, Chicopee, MA 01020-3913 | 2019-07-27 |
| 1093376790 | A.h.h.h. Bristol, LLC | Hearing Instrument Specialist | 1528 Tremont St Ste 2a-2, Duxbury, MA 02332-3332 | 2019-06-24 |
| 1851859078 | Michael Nogueira | Hearing Instrument Specialist | 514 Hanover St, Fall River, MA 02720-3742 | 2019-03-06 |
| 1386116515 | Gary Lavern Winn | Hearing Instrument Specialist | 610 College Hwy Ste 13a, Southwick, MA 01077-9367 | 2018-12-28 |
| 1841778479 | Richard Sylvester Chiaravalloti | Hearing Instrument Specialist | 91 Mccracken Rd. Hearing Aid Home Service, 91 Mccracken Rd., Millbury, MA 01527 | 2018-08-06 |
| 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.