DR. STEPHANIE R WALLACE (NPI# 1841289022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841289022 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE R WALLACE |
| Credential | MD |
| Practice Address |
2405 Research Parkway Colorado Springs CO 80918 |
| Mailing Address |
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1604 |
| Practice Telephone | 7195221134 |
| Practice Fax Number | 7195987229 |
| Mailing Telephone | 7198666568 |
| Mailing Fax Number | 7195382999 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | DR.0034435 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01344357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| 1033533617 | Stephanie Wallace | Counselor | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2014-02-18 |
| Street Address |
2405 RESEARCH PARKWAY |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977936 | Crystal B.w. Evig | Obstetrics & Gynecology | 2405 Research Parkway, Colorado Springs, CO 80920 | 2008-07-01 |
| 1669642971 | Borghild Darlene Kalford | Internal Medicine | 2405 Research Parkway, Colorado Springs, CO 80920 | 2008-03-04 |
| 1457551392 | Aimee D Johnson-wirt | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80920 | 2007-07-19 |
| 1093838013 | Terri Sue Ewers | Physician Assistant | 2405 Research Parkway, Colorado Springs, CO 80920 | 2007-04-06 |
| 1710099437 | Carolyn J. Johnson-dragoo | Physician Assistant | 2405 Research Parkway, Colorado Springs, CO 80920 | 2006-08-31 |
| 1083721195 | Lara Morris | Physician Assistant | 2405 Research Parkway, Colorado Springs, CO 80920-3420 | 2006-08-24 |
| 1598870131 | Heather H Sena | Internal Medicine | 2405 Research Parkway, Colorado Springs, CO 80920 | 2006-08-21 |
| 1275502759 | Maureen O Jordan | Obstetrics & Gynecology | 2405 Research Parkway, Colorado Springs, CO 80920-1022 | 2006-03-16 |
| 1396714218 | David C Koukol | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80920 | 2006-03-14 |
| 1760451744 | Kathleen G Nitcher | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80920 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891815 | Optumcare Colorado Springs, LLC | Pediatrics | 8890 N Union Blvd Ste 220, Colorado Springs, CO 80920-2701 | 2020-01-27 |
| 1467985390 | Jennifer Lynne Anderson | Pediatrics | 782 Mcchord St, Colorado Springs, CO 80916-5299 | 2017-04-07 |
| 1316309891 | Dr. Harry J.anderson,jr.,m.d. | Pediatrics | 190 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3718 | 2016-03-24 |
| 1245623693 | Jamie Hug | Pediatrics | 4190 E. Woodmen Rd, Suite 100, Colorado Springs, CO 80920 | 2015-03-10 |
| 1629414016 | Sean Michael Bradley | Pediatrics | 402 N Tejon St # 200, Colorado Springs, CO 80903-1142 | 2013-05-13 |
| 1912340738 | Erin Janel Meyer | Pediatrics | 4090 Briargate Pkwy # 106, Colorado Springs, CO 80920-7815 | 2013-04-10 |
| 1023303880 | Natalie Connolly | Pediatrics | 4150 E Woodmen Rd Ste 100, Colorado Springs, CO 80920-8042 | 2011-06-09 |
| 1194956292 | Margot A. Williams, D.o., P.C. | Pediatrics | 1465 Kelly Johnson Boulevard, Suite 300, Colorado Springs, CO 80920-3947 | 2009-08-06 |
| 1831326495 | Viral Kothari | Pediatrics | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923 | 2009-06-22 |
| 1609071877 | Anna E Lawrence | Pediatrics | 5575 Tech Center Dr Ste 106, Colorado Springs, CO 80919-2349 | 2007-06-18 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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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.