Jeffrey S Wallace (NPI# 1629089156, PAC ID# 4486632031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1629089156 |
| PAC ID by PECOS | 4486632031 |
| Professional Enrollment ID | I20050114000500 |
| Full Name | Jeffrey S Wallace |
| Address |
6701 Heritage Pkwy Suite 140 Rockwall TX 75087-8799 |
| Phone Number | 9724631253 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1991 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450742 | BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE |
| 450352 | HUNT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6701 Heritage Pkwy, Suite 140, Rockwall, TX 75087-8799 | 9724631253 |
| Street Address |
6701 HERITAGE PKWY SUITE 140 |
| City | ROCKWALL |
| State | TX |
| Zip | 75087-8799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn R Taylor | Nurse Practitioner | Healthtexas Provider Network | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8799 |
| Avishai Albert Alkalay | Obstetrics/gynecology | Magella Medical Associates Billing Inc | 6701 Heritage Pkwy, Rockwall, TX 75087-8747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenni K. Underhill | Anesthesiology | Metropolitan Anesthesia Consultants, LLP | 825 W Yellow Jacket Lane, Rockwall, TX 75087 |
| Jay T Humphrey | Chiropractic | 433 E Interstate 30, Rockwall, TX 75087 | |
| Brittney Marie Downing | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Ryan M Litton | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Cecilia Wong | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Silvia P Galvez-uribe | Physical Therapy | Ideal Physical Therapy of Texas LLC | 2268 N Lakeshore Dr, Suite 106, Rockwall, TX 75087-0280 |
| Joseph C Migliaccio | Chiropractic | 105 N Goliad St, Performance Chiropractic and Wellness, Rockwall, TX 75087-2539 | |
| John Clark Weddle | Chiropractic | 105 N Goliad, Rockwall, TX 75087-2539 | |
| Steven H Thompson | Internal Medicine | 2504 Ridge Rd, Suite 205, Rockwall, TX 75087-2571 | |
| Eitan Podgaetz Gliksberg | Thoracic Surgery | Healthtexas Provider Network | 2504 Ridge Rd, Suite 202, Rockwall, TX 75087-2571 |
| Find all physicians in zip 75087 | |||
| City | ROCKWALL |
| Zip Code | 75087 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ROCKWALL + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeffrey S 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.