Adam N Wallace (NPI# 1801117585, PAC ID# 4486883014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1801117585 |
| PAC ID by PECOS | 4486883014 |
| Professional Enrollment ID | I20170522000887 |
| Full Name | Adam N Wallace |
| Organization Legal Name | CONSULTING RADIOLOGISTS LTD |
| Address |
6525 France S Ave Suite 110 Edina MN 55435-2158 |
| Phone Number | 9529154320 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7719899962 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240047 | ST LUKES HOSPITAL |
| 520051 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| 241380 | ST JOSEPHS AREA HEALTH SERVICES |
| 430005 | PRAIRIE LAKES HEALTHCARE SYSTEM, INC |
| 240056 | RIDGEVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6525 France S Ave, Suite 110, Edina, MN 55435-2158 | 9529154320 | CONSULTING RADIOLOGISTS LTD |
| 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 4142987230 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC |
| 15700 37th Ave N, Suite 100, Plymouth, MN 55446-3399 | 7635094720 | CONSULTING RADIOLOGISTS LTD |
| 1650 4th St Se, Rochester, MN 55904-4700 | 5072858485 | OLMSTED MEDICAL CENTER |
| 210 9th St Se, Rochester, MN 55904-6425 | 5072883443 | OLMSTED MEDICAL CENTER |
| Organization Legal Name | CONSULTING RADIOLOGISTS LTD |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Alexander Farris | Diagnostic Radiology | Consulting Radiologists Ltd | 3433 E Florence Ct, Seattle, WA 98112-4935 |
| Huy Q Tran | Diagnostic Radiology | Consulting Radiologists Ltd | 66 S Horizon Ridge Ct, The Woodlands, TX 77381-4785 |
| Willis Clement Chung | Diagnostic Radiology | Consulting Radiologists Ltd | 2450 E 5th Ave, Unit B, Denver, CO 80206-4245 |
| Lisa Anne Miller | Diagnostic Radiology | Consulting Radiologists Ltd | 3426 Woodberry Ave, Baltimore, MD 21211-1562 |
| Douglas Paul Caldwell | Diagnostic Radiology | Consulting Radiologists Ltd | 3231 26th Ave W, Seattle, WA 98199-2823 |
| Naveen K Gowda | Diagnostic Radiology | Consulting Radiologists Ltd | 915 E 1st St, Duluth, MN 55805-2107 |
| David Gross | Diagnostic Radiology | Consulting Radiologists Ltd | 800 E 28th St, Minneapolis, MN 55407-3799 |
| Stephen Hilding Pearson | Diagnostic Radiology | Consulting Radiologists Ltd | 800 E 28th St, Minneapolis, MN 55407-3799 |
| Robert A Pollock | Diagnostic Radiology | Consulting Radiologists Ltd | 1095 Hwy 15 S, Hutchinson, MN 55350-5000 |
| Christina M Braatz | Nurse Practitioner | Consulting Radiologists Ltd | 7505 Metro Blvd, Edina, MN 55439-3010 |
| Street Address |
6525 FRANCE S AVE SUITE 110 |
| City | EDINA |
| State | MN |
| Zip | 55435-2158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan F Hunt | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Laura Loeding Bechtold | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Bonnie L Glenzinski | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Kimberly Lynn Mcclintick | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Susan E Anderson | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Julie A Stauffer | Occupational Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Meredith N Butulis | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Breanna N Smith | Physical Therapy | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| David Gesensway | Hand Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Christopher M Larson | Orthopedic Surgery | Infinite Health Collaborative Pa | 4010 W 65th St, Edina, MN 55435-1706 |
| Find all physicians in zip 55435 | |||
| City | EDINA |
| Zip Code | 55435 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EDINA + DIAGNOSTIC RADIOLOGY |
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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.