William F Wallace (NPI# 1700920154, PAC ID# 0749350627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1700920154 |
| PAC ID by PECOS | 0749350627 |
| Professional Enrollment ID | I20080604000178 |
| Full Name | William F Wallace |
| Organization Legal Name | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Address |
602 E Long St Suite A Claxton GA 30417-5914 |
| Phone Number | 9129273434 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274770227 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110043 | ST JOSEPH'S HOSPITAL - SAVANNAH |
| 110024 | CANDLER HOSPITAL |
| 110142 | EVANS MEMORIAL HOSPITAL |
| 111334 | CANDLER COUNTY HOSPITAL |
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 602 E Long St, Suite A, Claxton, GA 30417-5914 | 9129273434 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| 400 Cedar St, Metter, GA 30439-3338 | 9129273434 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| 11700 Mercy Blvd, Savannah, GA 31419-1753 | 9129273434 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| 11705 Mercy Blvd, Savannah, GA 31419-1711 | 8433790220 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| 5353 Reynolds St, Savannah, GA 31405-6015 | 8433790220 | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Organization Legal Name | ST JOSEPHS CARDIOLOGY GROUP LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly Lippert | Nurse Practitioner | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| John D Rathbun | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Clint Richard Fenton | Physician Assistant | St Josephs Cardiology Group LLC | 11705 Mercy Blvd, Savannah, GA 31419-1711 |
| Gary Elkin | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Michael J Babcock | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| Karen Hanna | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Claude Su | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Daniel B Cobb | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| Angel M Everidge | Physician Assistant | St Josephs Cardiology Group LLC | 5353 Reynolds St, Savannah, GA 31405-6015 |
| William Crosland Iii | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 11700 Mercy Blvd, Savannah, GA 31419-1753 |
| Street Address |
602 E LONG ST SUITE A |
| City | CLAXTON |
| State | GA |
| Zip | 30417-5914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Rathbun | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Gary Elkin | Cardiovascular Disease (cardiology) | St Josephs Cardiology Group LLC | 602 E Long St, Suite A, Claxton, GA 30417-5914 |
| Jesse B Scott | Internal Medicine | Southern Medical Group | 602 E Long St, Claxton, GA 30417-5914 |
| Kelly E Daus | Physician Assistant | Southern Medical Group | 602 E Long St, Claxton, GA 30417-5914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Thompson | Family Medicine | Southern Medical Group | 501 E Long St, Claxton, GA 30417-1435 |
| Florin C Georgescu | Nephrology | Kidney Specialists of Savannah, P. C. | 405 E Long St, Claxton, GA 30417-1443 |
| James A Daly Iii | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Michael D Mullins | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 405 E Long St, Claxton, GA 30417-1443 |
| Andrew B Pandya | Physical Medicine and Rehabilitation | Tattnall Hospital Company LLC | 209 N River St, Claxton, GA 30417-1658 |
| Atul M Devani | Family Medicine | Southland Evans Emergency Medical Services LLC | 200 N River St, Claxton, GA 30417-1659 |
| Andrew D Magnet | Internal Medicine | Southland Evans Emergency Medical Services LLC | 200 N River St, Claxton, GA 30417-1659 |
| Katharine R Akins | Nurse Practitioner | Southland Evans Emergency Medical Services LLC | 200 N River St, Claxton, GA 30417-1659 |
| Hugh K Parks | General Surgery | Evans Memorial Hospital Inc | 200 N River St, Claxton, GA 30417-1659 |
| Jessica Marie Alferink | Nurse Practitioner | Southland Evans Hospitalist Group LLC | 200 N River St, Claxton, GA 30417-1659 |
| Find all physicians in zip 30417 | |||
| City | CLAXTON |
| Zip Code | 30417 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CLAXTON + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on William F 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.