Elizabeth A Wallace (NPI# 1851665541, PAC ID# 2062674088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1851665541 |
| PAC ID by PECOS | 2062674088 |
| Professional Enrollment ID | I20120508000424 |
| Full Name | Elizabeth A Wallace |
| Organization Legal Name | VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER |
| Address |
2384 Colony Crossing Pl Midlothian VA 23112-4280 |
| Phone Number | 8044233636 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 1052377934 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 | 8044233636 | VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER |
| 3460 Mayland Ct, Suite 100, Richmond, VA 23233-1401 | 8044233636 | VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 82% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 90% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | VIRGINIA ENDOCRINOLOGY AND OSTEOPOROSIS CENTER |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Ryan | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Marsha Dawn Di Peppe | Nurse Practitioner | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Kristin W Fabiato | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Ben D Phillips Iii | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Alexander D Millis | Internal Medicine | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Anita Prakash | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Maria J Iuorno | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Akta Mukherjee | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Kelsey E Salley | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Samamtha H.h. Hudson | Internal Medicine | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Street Address |
2384 COLONY CROSSING PL |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23112-4280 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia S Ryan | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Marsha Dawn Di Peppe | Nurse Practitioner | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Kristin W Fabiato | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Ben D Phillips Iii | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Alexander D Millis | Internal Medicine | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Anita Prakash | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Maria J Iuorno | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Akta Mukherjee | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Kelsey E Salley | Endocrinology | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Samamtha H.h. Hudson | Internal Medicine | Virginia Endocrinology and Osteoporosis Center | 2384 Colony Crossing Pl, Midlothian, VA 23112-4280 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Jones | Clinical Social Worker | 4920 Millridge E Pkwy, Suite 206, Midlothian, VA 23112 | |
| Amelia N Bazzi | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13800 Hull St Rd, Midlothian, VA 23112-2002 |
| Cindy Mcgarry | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Rebecca M Kiraly Qualls | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Samuel A Martin | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Robie Robinson | Optometry | 6721 Lake Harbour Dr, Midlothian, VA 23112-2083 | |
| Claude R Hinson Jr. | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Jennifer K Stirgwolt | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Dandan Li | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Bogale Jima | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Find all physicians in zip 23112 | |||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | MIDLOTHIAN + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Elizabeth 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.