BETHANY ANN WALLACE


Address: 8890 N Union Blvd Ste 170, Colorado Springs, CO 80920-2701
Phone: 7193656421

BETHANY ANN WALLACE (NPI# 1740371699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740371699
Entity Type Individual
Full Name BETHANY ANN WALLACE
Credential DO
Practice Address 8890 N Union Blvd Ste 170
Colorado Springs
CO 80920-2701
Mailing Address 558 E Castle Pines Pkwy Pmb 151
Castle Rock
CO 80108-4608
Practice Telephone 7193656421
Practice Fax Number 7193656408
Mailing Telephone 7193656421
Mailing Fax Number 7103656408
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 27638 CO Allopathic & Osteopathic Physicians

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Office Location

Street Address 8890 N UNION BLVD STE 170
City COLORADO SPRINGS
State CO
Zip Code 80920-2701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194776013 Lisa M Keith Nurse Practitioner 8890 N Union Blvd Ste 170, Colorado Springs, CO 80920-2701 2006-05-15
1386244333 Poudre Valley Medical Group, LLC Family Medicine 8890 N Union Blvd Ste 170, Colorado Springs, CO 80920-2701 2020-10-29
1134665862 Breanna Danielle Frees Physician Assistant 8890 N Union Blvd Ste 170, Colorado Springs, CO 80920-2701 2017-01-19
1831278480 Amir A. Salek Family Medicine 8890 N Union Blvd Ste 170, Colorado Springs, CO 80920-2701 2006-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407463409 Cynthia Cruz Marriage & Family Therapist 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 2020-09-24
1851905178 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-09-03
1114531431 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1205440583 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1700490455 Poudre Valley Medical Group, LLC Radiology 4080 Briargate Parkway, Colorado Springs, CO 80920 2020-09-01
1962015792 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-08-31
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1134602279 Juliana Plucinik Assistant Behavior Analyst 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 2018-09-14
1811473861 Vsb Colorado Providers Pllc Dentist 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 2018-07-12
1336637438 Children's Hospital Colorado General Acute Care Hospital 4090 Briargate Parkway, Colorado Springs, CO 80920 2018-04-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285256818 Summit Primary Care Family Medicine 75 Printers Pkwy Ste 200, Colorado Springs, CO 80910-3142 2020-05-18
1902437874 Optumcare Colorado Springs, LLC Family Medicine 3470 Centennial Blvd Ste 210, Colorado Springs, CO 80907-4090 2020-01-30
1487285383 Optumcare Colorado Springs, LLC Family Medicine 3470 Centennial Blvd Ste 215, Colorado Springs, CO 80907-4090 2020-01-29
1568093847 Optumcare Colorado Springs, LLC Family Medicine 3470 Centennial Blvd Ste 205, Colorado Springs, CO 80907-8669 2020-01-27
1699319590 Front Range Urgent Care, PC Family Medicine 6530 S Academy Blvd Ste 105, Colorado Springs, CO 80906-8635 2019-11-04
1669014593 Neida L. Blondet Family Medicine 1380 N Fillmore St, Suite 100, Colorado Springs, CO 80907-6464 2019-10-11
1952942526 Choondai Asha Ramlall Family Medicine 2342 Spring Blossom Dr, Colorado Springs, CO 80910-8106 2019-10-03
1710427174 Vitality Aesthetics Pllc Family Medicine 7680 Goddard St, Suite 100, Colorado Springs, CO 80920-8235 2017-03-06
1477096964 Home Call Medical LLC Family Medicine 3925 Regency Dr, Colorado Springs, CO 80906-4318 2016-12-01
1922558188 Paladina Health, LLC Family Medicine 9965 Federal Dr, Colorado Springs, CO 80921-3822 2016-10-11
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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Dataset Information

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.

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