DR. JAMES G WALLACE JR. (NPI# 1760683924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760683924 |
Entity Type | Individual |
Full Name | DR. JAMES G WALLACE JR. |
Credential | M.D. |
Practice Address |
525 Jay Ave Brewster WA 98812-3403 |
Mailing Address |
Po Box 1340 Ste 100 Okanogan WA 98840-1340 |
Practice Telephone | 5094225700 |
Practice Fax Number | 5094227680 |
Mailing Telephone | 5094225700 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2016-05-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 60167526 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083226005 | James D Wallace | Technician | 67 Don Dale Dr, Foster, WV 25081 | 2020-08-20 |
1982173571 | James Preston Wallace II | Clinic/Center | 6234 Castlegate Dr W Apt 8112, Castle Rock, CO 80108-8655 | 2018-11-13 |
1356686877 | James Steven Wallace | Physical Therapy Assistant | 449 Main St Apt 131, Anderson, IN 46016-1186 | 2012-12-10 |
1033400999 | James Wallace | Durable Medical Equipment & Medical Supplies | 593 Bramlett Way, Powder Springs, GA 30127 | 2011-04-27 |
1841591559 | James Leeman Wallace | Massage Therapist | 29650 Sw Courtside Dr, #14, Wilsonville, OR 97070-7482 | 2010-11-11 |
1992023212 | James Joseph Wallace | Specialist | 154 Sugar Cane Dr, Hartwell, GA 30643-8120 | 2010-05-11 |
1538338413 | James Christopher Wallace | Military Health Care Provider | Uss Ross, Ddg 71, Fpo, AE 09586-1288 | 2008-02-26 |
1568664274 | James Christopher Wallace | Emergency Medical Technician, Basic | Cgc Chase (whec-718) Fpo Ap 96662-3932 32nd St, San Diego, CA 92106 | 2007-06-04 |
1922143882 | James B Wallace Jr. | Dentist | 6618 Fm 2100, Crosby, TX 77532 | 2007-02-20 |
1487744751 | James Thomas Wallace | Chiropractor | 1190 Cross St Se, Salem, OR 97302-2924 | 2006-10-14 |
Street Address |
525 JAY AVE |
City | BREWSTER |
State | WA |
Zip Code | 98812-3403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528619467 | Britni Lian Riley | Pharmacist | 525 Jay Ave, Brewster, WA 98812-3403 | 2019-09-23 |
1689061517 | Erin Cooley | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2015-04-17 |
1821492547 | Mary Downey | Physician Assistant | 525 Jay Ave, Brewster, WA 98812-3403 | 2014-10-09 |
1629338546 | Katherin May Schmitz | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2012-05-24 |
1518190628 | Julie Anne Frenette | Nurse Practitioner | 525 Jay Ave, Brewster, WA 98812-3403 | 2009-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
Find all providers in zip 98812 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
1295769446 | Anne Dubosky | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2006-07-11 |
1821022492 | Tamara Ellen Merritt | Family Medicine | 525 West Jay, Brewster, WA 98812-9701 | 2006-07-10 |
1821053208 | Main Street Health Associates, P.s. | Family Medicine | 418 West Main Avenue, Brewster, WA 98812 | 2006-04-19 |
1821076688 | Theodor Thomas Herwig | Family Medicine | 1 Independence Way, Brewster, MA 02631 | 2006-01-03 |
1447242235 | William A Rhodes | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2005-08-17 |
1811341522 | Jessica Ann Wilson | Family Medicine | 155 Main St, Brewster, NY 10509-1521 | 2016-04-19 |
1689061517 | Erin Cooley | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2015-04-17 |
1811259195 | Wenatchee Valley Hospital | Family Medicine | 418 W. Main St., Brewster, WA 98812 | 2012-06-12 |
1629338546 | Katherin May Schmitz | Family Medicine | 525 Jay Ave, Brewster, WA 98812-3403 | 2012-05-24 |
Find all providers in BREWSTER |
Please comment or provide details below to improve the information on DR. JAMES G WALLACE JR..
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.