Joseph C Wallace (NPI# 1104850957, PAC ID# 3870781982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1104850957 |
| PAC ID by PECOS | 3870781982 |
| Professional Enrollment ID | I20101215001193 |
| Full Name | Joseph C Wallace |
| Organization Legal Name | SOUTHEAST PHYSICIAN NETWORK, P.C. |
| Address |
1031 Fairfax Park Tuscaloosa AL 35406-2807 |
| Phone Number | 2053452211 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0840337721 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010092 | D C H REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1031 Fairfax Park, Tuscaloosa, AL 35406-2807 | 2053452211 | SOUTHEAST PHYSICIAN NETWORK, P.C. |
| Organization Legal Name | SOUTHEAST PHYSICIAN NETWORK, P.C. |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Broughton | Urology | Southeast Physician Network, P.C. | 1780 Mcfarland N Blvd, Tuscaloosa, AL 35406-2136 |
| Glenn C Wheeling | Physician Assistant | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Anthony J Kalliath | Hematology/oncology | Southeast Physician Network, P.C. | 171 Carraway Dr, Winfield, AL 35594-5067 |
| Laura C Bunch | Internal Medicine | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Howard J Falgout | General Surgery | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Ashvini Sengar | Hematology/oncology | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| John Duffy Iii | Urology | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Gwendolyn Lynell Hooper | Nurse Practitioner | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Tyler J Eads | General Surgery | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Shelby P Sanford | Radiation Oncology | Southeast Physician Network, P.C. | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 |
| Street Address |
1031 FAIRFAX PARK |
| City | TUSCALOOSA |
| State | AL |
| Zip | 35406-2807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua L. Argo | General Surgery | Southeast Physician Network, P.C. | 1031 Fairfax Park, Tuscaloosa, AL 35406-2807 |
| Andrew G Harrell | General Surgery | Southeast Physician Network, P.C. | 1031 Fairfax Park, Tuscaloosa, AL 35406-2807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rivers Shulman | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Suite 100, Tuscaloosa, AL 35406-1800 |
| Richard M Kendrick | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 |
| Charles E King | Diagnostic Radiology | The Radiology Clinic LLC | 208 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 |
| Nathan E Parvin | Optometry | 301 Riverdale Dr, Tuscaloosa, AL 35406-1807 | |
| John W Menard | Plastic and Reconstructive Surgery | 401 Towncenter Blvd, B, Tuscaloosa, AL 35406-1822 | |
| John R Hubbard | Psychiatry | 201 Towncenter Blvd, Tuscaloosa, AL 35406-1824 | |
| Lisa C Ryan | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Richard E Jones Iii | Rheumatology | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Mary E Cole | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Jillian L Barnette | Nurse Practitioner | W V Medical Services PC | 100 Towncenter Blvd, Suite 112, Tuscaloosa, AL 35406-1832 |
| Find all physicians in zip 35406 | |||
| City | TUSCALOOSA |
| Zip Code | 35406 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TUSCALOOSA + GENERAL SURGERY |
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| 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.