David F Wallace (NPI# 1609804525, PAC ID# 1951380047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609804525 |
| PAC ID by PECOS | 1951380047 |
| Professional Enrollment ID | I20081010000495 |
| Full Name | David F Wallace |
| Organization Legal Name | ST. ELIZABETH'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| Address |
340 W Lincoln Suite 327 Belleville IL 62220-1900 |
| Phone Number | 6182342120 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6406753011 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | ST ELIZABETH HOSPITAL |
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 141349 | SPARTA COMMUNITY HOSPITAL |
| 141348 | RED BUD REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 340 W Lincoln, Suite 327, Belleville, IL 62220-1900 | 6182342120 | ST. ELIZABETH'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| 340 W Lincoln, Belleville, IL 62220-1900 | 6182342120 | ST. ELIZABETH'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| 340 W Lincoln St, Belleville, IL 62220-1900 | 6182336044 | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 6182336044 | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD |
| 9515 Holy Cross Ln, Breese, IL 62230-3618 | 6185264511 | ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDER |
| Organization Legal Name | ST. ELIZABETH'S HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS |
| Physicians | 1 |
| Street Address |
340 W LINCOLN SUITE 327 |
| City | BELLEVILLE |
| State | IL |
| Zip | 62220-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig S Vinch | Cardiovascular Disease (cardiology) | St Elizabeths Hospital of The Hospital Sisters of The Third Order Of | 340 W Lincoln, Suite 327, Belleville, IL 62220-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William V Ritzel | Optometry | Innovative Eye Care Solutions Ltd | 22 N Jackson St, Belleville, IL 62220-1425 |
| Jacqueline Elaine Taylor | Optometry | Innovative Eye Care Solutions Ltd | 22 N Jackson St, Belleville, IL 62220-1425 |
| Crystal Lynn Stone | Nurse Practitioner | 100 N Jackson St, Suite B, Belleville, IL 62220-1455 | |
| Lori Beth Helmers | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Scott Marrus | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Daniel Earl Cox | Vascular Surgery | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Atul Sharad Shah | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Venkatesh Anjan | Interventional Cardiology | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Kellsey R Thole | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Katherine A Corbin | Nurse Practitioner | Prairie Cardiovascular Consultants Ltd | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 |
| Find all physicians in zip 62220 | |||
| City | BELLEVILLE |
| Zip Code | 62220 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BELLEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on David 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.