MIA WALLACE (NPI# 1972125078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972125078 |
| Entity Type | Individual |
| Full Name | MIA WALLACE |
| Practice Address |
9165 Otis Ave Ste 232 Indianapolis IN 46216-2317 |
| Practice Telephone | 3175608522 |
| Mailing Telephone | 3175608522 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
9165 OTIS AVE STE 232 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46216-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1851875546 | Andrew David Power | Dentist | 5869 Lawton Loop East Drive, Indianapolis, IN 46216 | 2018-09-19 |
| 1366938417 | Alidde Alouidor | Social Worker | 9801 E 59th St, Indianapolis, IN 46216 | 2018-07-02 |
| 1548779663 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 9140 Harrison Park Ct, Indianapolis, IN 46216 | 2017-09-20 |
| 1184835852 | Toby A Zirkle | Family Medicine | 8205 E 56th St Ste 100, Indianapolis, IN 46216 | 2007-05-24 |
| 1922178995 | Physiotherapy Associates | Physical Therapist | 5665 North Post Rd. Suite 100, Indianapolis, IN 46216 | 2006-11-08 |
| 1871562645 | Richard Clark Perry | Internal Medicine | 8205 E 56th Street, Suite 100, Indianapolis, IN 46216 | 2006-03-15 |
| 1902420532 | Carole Christine Corder | Dietitian, Registered | 8205 E 56th St, Suite 100, Indianapolis, IN 46216 | 2020-05-29 |
| 1821301300 | Robin Girdhar | Internal Medicine | 8205 E 56th St, Ste 100, Indianapolis, IN 46216 | 2010-07-26 |
| 1306949086 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 5605 N Post Rd, Indianapolis, IN 46216-1002 | 2006-09-07 |
| Find all providers in zip 46216 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1841897378 | Spotlight Transportation | Non-emergency Medical Transport (VAN) | 2804 55th Pl Ste E, Indianapolis, IN 46220-3546 | 2020-10-07 |
| 1972117638 | Reliable Healthcare Professionals LLC | Non-emergency Medical Transport (VAN) | 450 E 96th St Ste 5024, Indianapolis, IN 46240-5703 | 2020-09-01 |
| 1871140764 | Larmar D Cox | Non-emergency Medical Transport (VAN) | 7929 Crestway Dr Apt 807, Indianapolis, IN 46236-7923 | 2019-08-24 |
| 1427617927 | Ralans LLC | Non-emergency Medical Transport (VAN) | 4920 N High School Rd, Indianapolis, IN 46254-1819 | 2019-06-07 |
| 1760045801 | Bidets Care LLC | Non-emergency Medical Transport (VAN) | 4215 W 86th St Ste F6703, Indianapolis, IN 46268-5737 | 2019-04-15 |
| 1881257012 | Habr LLC | Non-emergency Medical Transport (VAN) | 2936 E Washington St Apt 11, Indianapolis, IN 46201-4294 | 2019-04-14 |
| 1659838050 | Shakila Germany | Non-emergency Medical Transport (VAN) | 8130 E 37th Pl, Indianapolis, IN 46226-5950 | 2019-02-22 |
| 1407312408 | Glenn Murray | Non-emergency Medical Transport (VAN) | 10457 Split Rock Way, Indianapolis, IN 46234-3636 | 2019-02-14 |
| 1508330622 | Ride Away Transportation LLC | Non-emergency Medical Transport (VAN) | 6220 Meadowlark Dr, Indianapolis, IN 46226-3615 | 2019-01-12 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46216 |
Please comment or provide details below to improve the information on MIA WALLACE.
| 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.