Wallace S Mclaurin (NPI# 1467846824, PAC ID# 4981916095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1467846824 |
| PAC ID by PECOS | 4981916095 |
| Professional Enrollment ID | I20191213002371 |
| Full Name | Wallace S Mclaurin |
| Organization Legal Name | UNIVERSITY SURGICAL-DENTAL ASSOCIATES LLC |
| Address |
222 Piedmont Ave Suite 7300 Cincinnati OH 45219-4224 |
| Phone Number | 5134758783 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY |
| Graduation Year | 2015 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 1658384482 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360003 | UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4224 | 5134758783 | UNIVERSITY SURGICAL-DENTAL ASSOCIATES LLC |
| Organization Legal Name | UNIVERSITY SURGICAL-DENTAL ASSOCIATES LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepak Gopalakrishnan | Maxillofacial Surgery | University Surgical-dental Associates LLC | 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4224 |
| Gary S Robins | Maxillofacial Surgery | University Surgical-dental Associates LLC | 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4224 |
| James Alexander Phero | Oral Surgery | University Surgical-dental Associates LLC | 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4224 |
| Robert Marciani | Maxillofacial Surgery | University Surgical-dental Associates LLC | 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4231 |
| Erik William Evans | Maxillofacial Surgery | University Surgical-dental Associates LLC | 222 Piedmont Ave, Suite 7300, Cincinnati, OH 45219-4231 |
| Street Address |
222 PIEDMONT AVE SUITE 7300 |
| City | CINCINNATI |
| State | OH |
| Zip | 45219-4224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary M Duck Robertshaw | Internal Medicine | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Greg W Rouan | Internal Medicine | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Ayman Mahdy | Urology | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| John F Barrord | Otolaryngology | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Elsira Marina Pina | Critical Care (intensivists) | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Rebecca J Howell | Otolaryngology | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Muhammad A Zafar | Critical Care (intensivists) | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Robert Austin Bach | Internal Medicine | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Ralph A Giannella | Gastroenterology | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Brian M Grawe | Sports Medicine | University of Cincinnati Physicians Company LLC | 222 Piedmont Ave, Cincinnati, OH 45219-4231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Ann Katz | Obstetrics/gynecology | 71 E Hollister St, Cincinnati, OH 45219-1703 | |
| Ronald A Sachs | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Deborah Andrews | Psychologist, Clinical | 48 E Hollister St, Cincinnati, OH 45219-1704 | |
| Janet Z Brinn | Psychologist, Clinical | 48 E Hollister St, Cincinnati, OH 45219-1704 | |
| Neil S Dubin | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Eugene J Van Leeuwen | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| David Gregory Leonard | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Christopher C Rowe | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Paul T Droessler | Psychiatry | 58 E Hollister St, Cincinnati, OH 45219-1704 | |
| Jasmine N Shafto | Nurse Practitioner | Psychological and Behavioral Consultants, Inc. | 130 Wellington Pl, Cincinnati, OH 45219-1710 |
| Find all physicians in zip 45219 | |||
| City | CINCINNATI |
| Zip Code | 45219 |
| Specialty | ORAL SURGERY |
| City + Specialty | CINCINNATI + ORAL SURGERY |
Please comment or provide details below to improve the information on Wallace S Mclaurin.
| 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.