Wallace Thomas (NPI# 1831490432, PAC ID# 1052607108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831490432 |
| PAC ID by PECOS | 1052607108 |
| Professional Enrollment ID | I20160915002109 |
| Full Name | Wallace Thomas |
| Organization Legal Name | ISLAND MEDICAL PERSEUS LLC |
| Address |
1912 Al Hwy 157 Cullman AL 35058-0609 |
| Phone Number | 2567372000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800011289 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100118 | FLORIDA HOSPITAL FLAGLER |
| 100018 | NAPLES COMMUNITY HOSPITAL |
| 100001 | SHANDS JACKSONVILLE |
| 010035 | CULLMAN REGIONAL MEDICAL CENTER |
| 100260 | ST LUCIE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1912 Al Hwy 157, Cullman, AL 35058-0609 | 2567372000 | ISLAND MEDICAL PERSEUS LLC |
| 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 9043831000 | HOSPITALIST MEDICINE PHYSICIANS OF FLORIDA - JACKSONVILLE, LLC |
| 350 7th St N, Naples, FL 34102-5754 | 2396245000 | PREMIER INPATIENT PARTNERS LLC |
| 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 | 3865862000 | COGENT HEALTHCARE OF JACKSONVILLE, LLC |
| 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952-7521 | 7723354000 | ATLANTIC ISLES INPATIENT SERVICES,LLC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ISLAND MEDICAL PERSEUS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Wadas | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Keila Carolina Romero Barreto | Hospitalist | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Harvey Andrew Pleasanton Jr. | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Mustafa M Akif | Family Medicine | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Ali J Ebrahimi | Hospitalist | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Etagbo Oqua Eta | Nephrology | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Charles A Smith | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Tanya S Davis | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Ashley Files | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Douglas A Cowser | Family Medicine | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Street Address |
1912 AL HWY 157 |
| City | CULLMAN |
| State | AL |
| Zip | 35058-0609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Kelsey | Nurse Practitioner | Cullman Regional Medical Center Inc. | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| David E Farkas | Emergency Medicine | Island Medical Alabama LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| James D Smith Iii | Orthopedic Surgery | 1912 Al Hwy 157, Cullman, AL 35058-0609 | |
| Theresa Wadas | Nurse Practitioner | Island Medical Perseus LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| James Shu-lei Lee | Cardiovascular Disease (cardiology) | Cullman Regional Medical Center Inc. | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Daphne Berry | Nurse Practitioner | Island Medical Alabama LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Randy J Yarbrough | Obstetrics/gynecology | Cullman Regional Medical Center Inc. | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Noah Thomas Lott | Family Medicine | Island Medical Alabama LLC | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Berenice C Serpas | Family Medicine | Cullman Regional Medical Center Inc. | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Edward F Mahan Iii | Cardiovascular Disease (cardiology) | Cullman Regional Medical Center Inc. | 1912 Al Hwy 157, Cullman, AL 35058-0609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Quinn | Neurology | North Central Neurology Associates,pc | 1809 Kress St, Cullman, AL 35058-0001 |
| Cynthia L Kimbrough | Nurse Practitioner | North Central Neurology Associates,pc | 1809 Kress St, Cullman, AL 35058-0001 |
| Christopher Cole Laganke | Neurology | North Central Neurology Associates,pc | 1809 Kress St, Cullman, AL 35058-0001 |
| Kimberly L Chaney | Nurse Practitioner | North Central Neurology Associates,pc | 1809 Kress St, Cullman, AL 35058-0001 |
| Sherry N Brown | Clinical Social Worker | 1528 Peachtree Ln Nw, Suite 104, Cullman, AL 35058-0422 | |
| Chelsea J Lowery | Nurse Practitioner | Cullman Regional Medical Center Inc. | 1958 Al Hwy 157, Cullman, AL 35058-0609 |
| John W Evans Jr. | General Surgery | Surgical Arts PC | 1930 Al Hwy 157 N, Cullman, AL 35058-0609 |
| Theodore S Powers | Family Medicine | 1942 Al Hwy 157, Cullman, AL 35058-0609 | |
| Brad Moody | General Surgery | Surgical Arts PC | 1930 Al Hwy 157 N, Cullman, AL 35058-0609 |
| Gregory S Windham | General Surgery | Surgical Arts PC | 1930 Al Hwy 157 N, Cullman, AL 35058-0609 |
| Find all physicians in zip 35058 | |||
| City | CULLMAN |
| Zip Code | 35058 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CULLMAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wallace Thomas.
| 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.