WAYNE J WALLIS (NPI# 1962623959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962623959 |
| Entity Type | Individual |
| Full Name | WAYNE J WALLIS |
| Credential | MD |
| Practice Address |
2339 Federal Ave E Seattle WA 98102-4031 |
| Practice Telephone | 2067244401 |
| Mailing Telephone | 2067244401 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD00019116 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8574600 | 05 |
| Street Address |
2339 FEDERAL AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445260 | Janice Gupta | Internal Medicine | 515 Minor Avneue, Seattle, WA 98104 | 2006-11-17 |
| 1336218171 | Philip J Mease | Internal Medicine | 1101 Madison St Ste 1000, Seattle, WA 98104-3556 | 2006-11-07 |
| 1174617229 | John Ez Caner Sr. | Internal Medicine | 520 36th Ave East, Seattle, WA 98112 | 2006-10-03 |
| 1508852633 | Christi M Kenyon | Internal Medicine | 3409 Ne 57th Street, Seattle, WA 98105 | 2005-09-23 |
| 1952306979 | Nimali D Mendis | Internal Medicine | 1200 12th Ave S, Seattle, WA 98144-2712 | 2005-06-16 |
| 1063933281 | Julianna Sabo | Internal Medicine | 1959 Ne Pacific Street, Seattle, WA 98195-6522 | 2017-06-28 |
| 1235557919 | Brittany Frankel | Internal Medicine | 1959 Ne Pacific St, Seattle, WA 98195-1911 | 2014-03-31 |
| 1861819294 | Sarah Chung | Internal Medicine | 1959 Ne Pacific St, Box 356421, Seattle, WA 98195-6421 | 2014-03-24 |
| 1407296585 | Percy Balderia | Internal Medicine | 904 7th Ave Fl 4, Seattle, WA 98104 | 2013-07-03 |
| 1386986123 | Meredith Barnes Morcos | Internal Medicine | 1100 9th Ave, Seattle, WA 98101 | 2013-03-19 |
| Find all providers in SEATTLE | ||||
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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.