John H Wallace (NPI# 1003296484, PAC ID# 0446567127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003296484 |
| PAC ID by PECOS | 0446567127 |
| Professional Enrollment ID | I20150911002034 |
| Full Name | John H Wallace |
| Organization Legal Name | CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC |
| Address |
321 Mulberry St Sw Lenoir NC 28645-5720 |
| Phone Number | 8287575100 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648207639 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340041 | CALDWELL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 8287575100 | CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC |
| Organization Legal Name | CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Samuel Mitchell | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Jeffery E Roller | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Laurie K Toman | Nurse Practitioner | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Jeffrey Mozgala | Nurse Practitioner | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Kindra J Littman | Nurse Practitioner | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Eric E Maur | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Roger B Lim | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Angela K Robertson-turner | Nurse Practitioner | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Daniel Jeffrey Rashid | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Daniel Waksman | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Street Address |
321 MULBERRY ST SW |
| City | LENOIR |
| State | NC |
| Zip | 28645-5720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey Wayne Wright | Physician Assistant | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Ismo M Kaariainen | Internal Medicine | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Allison I Lee | Nurse Practitioner | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Thomas Samuel Mitchell | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Jeffery E Roller | Emergency Medicine | Caldwell Emergency Medical Associates LLC | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| John A Dew | Pulmonary Disease | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| John Edmunds | Internal Medicine | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Travis D Lowe | Certified Registered Nurse Anesthetist (crna) | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| La Tasha Cherie Plemons | Certified Registered Nurse Anesthetist (crna) | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Leah Marie Noe | Internal Medicine | Caldwell Memorial Hospital Inc | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silpa Rao | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Jessica Strasler Medford | Clinical Psychologist | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Paula Lynn Gilbert | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 300, Morganton, NC 28645-4092 |
| Penny Mitchell | Nurse Practitioner | Emergeortho Pa | 232 Sharon Ave Nw, Lenoir, NC 28645-4326 |
| John Mark Picton | Obstetrics/gynecology | 2345 Morganton Blvd Sw, Lenoir, NC 28645-4973 | |
| Roger Keever | Physician Assistant | County of Caldwell | 2345 Morganton Swblvd B, Lenoir, NC 28645-4973 |
| Warren A Chang | Hospitalist | Catawba Valley Medical Center | 810 Harper Nwave, Lenoir, NC 28645-5083 |
| Tyler A Clark | Hospitalist | Catawba Valley Medical Center | 810 Harper Nwave, Lenoir, NC 28645-5083 |
| Samuel H Templeman Iii | Optometry | 214 Church St, Lenoir, NC 28645-5117 | |
| Freda Clark Cowan | Nurse Practitioner | Caldwell Hospice and Palliative Care Inc | 902 Kirkwood Ave Nw, Lenoir, NC 28645-5121 |
| Find all physicians in zip 28645 | |||
| City | LENOIR |
| Zip Code | 28645 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LENOIR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on John H 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.