Danyale A Wallace (NPI# 1992826358, PAC ID# 1759481245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1992826358 |
| PAC ID by PECOS | 1759481245 |
| Professional Enrollment ID | I20150122002070 |
| Full Name | Danyale A Wallace |
| Organization Legal Name | WHITE RIVER HEALTH SYSTEM INC |
| Address |
2106 E Main St Mountain View AR 72560-6439 |
| Phone Number | 8702694361 |
| Gender | F |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2003 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0143134270 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040119 | WHITE RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2106 E Main St, Mountain View, AR 72560-6439 | 8702694361 | WHITE RIVER HEALTH SYSTEM INC |
| Organization Legal Name | WHITE RIVER HEALTH SYSTEM INC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dylan Estes | Family Medicine | White River Health System Inc | 1215 Sidney St, Suite 300, Batesville, AR 72501-7201 |
| Arnold Wayne Harris | Occupational Therapy | White River Health System Inc | 1526 E Main St Slot, 9 Wrmc Orthopaedic and Sports Medicine Clinic, Melbourne, AR 72556-9315 |
| Ashley Howard | Nurse Practitioner | White River Health System Inc | 2200 Malcolm Ave, Slot27, Newport, AR 72112-3668 |
| Mantinderpreet Singh | Neurology | White River Health System Inc | 1699 Harrison St, Suite D, Batesville, AR 72501-7318 |
| Krishna Siva Sai Kakkera | Pulmonary Disease | White River Health System Inc | 16 Hospital Cir, Suite A, Batesville, AR 72501-7343 |
| Bobbi Tosh | Nurse Practitioner | White River Health System Inc | 413 Virginia Dr, Batesville, AR 72501-7329 |
| Jerrod R Anderson | Emergency Medicine | White River Health System Inc | 1710 Harrison St Slot, 24 White River Emergency Physicians, Batesville, AR 72501-7303 |
| Praveen Pakeerappa | Physical Medicine and Rehabilitation | White River Health System Inc | 1700 Harrison St T, Batesville, AR 72501-7316 |
| Jyoti Chaudhary | Internal Medicine | White River Health System Inc | 12 Hospital Cir B, Batesville, AR 72501-7326 |
| Whitney Melton | Nurse Practitioner | White River Health System Inc | 501 Vine St, Newark, AR 72562-9711 |
| Street Address |
2106 E MAIN ST |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip | 72560-6439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Vanhook | Emergency Medicine | White River Health System Inc | 2106 E Main St, Mountain View, AR 72560-6439 |
| Debra Varela | Certified Registered Nurse Anesthetist (crna) | White River Health System Inc | 2106 E Main St, Mountain View, AR 72560-6439 |
| Jarrod S Duke | Certified Registered Nurse Anesthetist (crna) | White River Health System Inc | 2106 E Main St, Mountain View, AR 72560-6439 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Dean Varela | Orthopedic Surgery | 2110 E Main, Mountainview, AR 72560-0001 | |
| Darvin L Brown | Chiropractic | 503 W Main St, Mountain View, AR 72560-0318 | |
| Christopher E Deitrick | Optometry | Chris Deitrick Od Pa | 101 Case Commons Dr, Mountain View, AR 72560-5016 |
| Emily L Smith | Optometry | Chris Deitrick Od Pa | 101 Case Commons Dr, Mountain View, AR 72560-5016 |
| James Zini | Family Medicine | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Calvin D Baize | Podiatry | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Charles Pearrow | Family Medicine | 1816 E Main St, Mountain View, AR 72560-6171 | |
| Mary Beth Stage | Clinical Social Worker | Counseling Associates Inc | 113 N Peabody Ave, Suite B, Mountain View, AR 72560-6231 |
| Jodi M Gibson | Nurse Practitioner | White River Health System Inc | 2202 E Main St, Stone County Primary Care Clinic, Mountain View, AR 72560-6402 |
| Callie Taylor | Nurse Practitioner | White River Health System Inc | 2202 E Main St, Stone County Primary Care Clinic, Mountain View, AR 72560-6402 |
| Find all physicians in zip 72560 | |||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MOUNTAIN VIEW + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Danyale A 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.