Mary Therese Wallace (NPI# 1982156766, PAC ID# 0143507087) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1982156766 |
| PAC ID by PECOS | 0143507087 |
| Professional Enrollment ID | I20170503000245 |
| Full Name | Mary Therese Wallace |
| Address |
700 Broadway Seattle WA 98122-4310 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Broadway, Seattle, WA 98122-4310 |
| Street Address |
700 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip | 98122-4310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| George J Moussally | Nurse Practitioner | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Calvert B Wait | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Kristian R Henriquez Mirandona | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul F Williams | Orthopedic Surgery | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Cynthia K Pikula | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| Richard A. Candelaria | Physician Assistant | Proliance Surgeons Inc Ps | 601 Bdwy, Suite 6, Seattle, WA 98122 |
| John W Robertson | General Practice | Proliance Surgeons Inc Ps | 601 Bdwy, Seattle, WA 98122 |
| Jeffrey Fred Olliffe | Family Medicine | 1817 12th Ave, Seattle, WA 98122-2437 | |
| Jutta Angelika Schneider | Physical Therapy | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 | |
| Nikia Marykatherine Fenlin Antioquia | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Alana Josephine Rogers | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Karen L Greeley | Physical Therapy | 1820 12th Ave, Seattle, WA 98122-2438 | |
| Robin C Angus | Physical Therapy | Central Physical Therapy and Fitness, Psc | 1820 12th Ave, Suite 101, Seattle, WA 98122-2438 |
| Find all physicians in zip 98122 | |||
| City | SEATTLE |
| Zip Code | 98122 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | SEATTLE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Mary Therese Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.