DR. WALLACE THOMAS


Address: 1701 San Pablo Rd S, 1213, Jacksonville, FL 32224-2088
Phone: 5612013234

DR. WALLACE THOMAS (NPI# 1831490432) 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) 1831490432
Entity Type Individual
Full Name DR. WALLACE THOMAS
Credential M.D.
Practice Address 1701 San Pablo Rd S
1213
Jacksonville
FL 32224-2088
Practice Telephone 5612013234
Mailing Telephone 5612013234
Enumeration Date 2010-11-12
Last Update Date 2018-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist ME126338 AL Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist ME126338 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1701 SAN PABLO RD S
1213
City JACKSONVILLE
State FL
Zip Code 32224-2088

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1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
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1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508817529 Baptist Primary Care Inc Hospitalist 3563 Philips Hwy Ste 106a, Jacksonville, FL 32207-5663 2006-05-15
1972585081 Nasrullah Ghafoor Hospitalist 4466 Swilcan Bridge Ln N, Jacksonville, FL 32224-5617 2005-11-15
1831584473 Mario Cisneros Hospitalist 653 W 8th St # L18, Jacksonville, FL 32209-6511 2015-03-31
1205220555 Jorge Miguel Trabanco Hospitalist 655 W 8th St, Jacksonville, FL 32209-6511 2015-03-25
1437583572 Kaley Jo Azar Hospitalist 807 Childrens Way, Jacksonville, FL 32207 2013-08-26
1952733719 Michael Smerina Hospitalist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2013-08-05
1235573882 Priyanka Vijapura Hospitalist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2013-04-25
1629336060 Gautam Matcha Hospitalist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2012-04-23
1326327651 Karthik Gnanapandithan Hospitalist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2011-08-04
1003100520 Ricardo Pagan Hospitalist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2011-06-01
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Competitor

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City JACKSONVILLE
Zip Code 32224

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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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