Amy M Wallace (NPI# 1073540175, PAC ID# 5092720243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE.
| Nation Provider ID (NPI) | 1073540175 |
| PAC ID by PECOS | 5092720243 |
| Professional Enrollment ID | I20060209000511 |
| Full Name | Amy M Wallace |
| Organization Legal Name | UNIVERSITY PHYSICIANS INCORPORATED |
| Address |
13123 E 16th Ave Children's Hospital Colorado Aurora CO 80045-7106 |
| Phone Number | 7207771234 |
| Gender | F |
| Credential | CNM |
| Graduation Year | 1995 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE |
| Group Practice PAC ID | 3476465667 |
| Number of Group Practice Members | 1854 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060024 | UNIVERSITY OF COLORADO HOSPITAL AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 | 7207771234 | UNIVERSITY PHYSICIANS INCORPORATED |
| 13123 E 16th Ave, Aurora, CO 80045-7106 | 7207771234 | UNIVERSITY PHYSICIANS INCORPORATED |
| Organization Legal Name | UNIVERSITY PHYSICIANS INCORPORATED |
| Physicians | 495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Pierce | Nurse Practitioner | University Physicians Incorporated | 12605 E 16th Ave Rm, Aurora, CO 80045-2545 |
| Cosima Lux | Certified Nurse Midwife | University Physicians Incorporated | 1725 E Boulder St, 104 Cu Pediatric Specialty, Colorado Springs, CO 80909-5740 |
| Shannon M Buckvold | Critical Care (intensivists) | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Dawn Womack Song | Certified Registered Nurse Anesthetist | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Asm Iftiar Chowdhury | Hospitalist | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Adria N.t Pearson-mauro | Clinical Psychologist | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Tayler R Korus | Nurse Practitioner | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Emily Burke Cheshire | Nurse Practitioner | University Physicians Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Abbie O Beacham | Clinical Psychologist | University Physicians Incorporated | 12605 E 16th Ave, Uchealth Anschutz Medical Campus, Aurora, CO 80045-2545 |
| Erica Reimer | Clinical Social Worker | University Physicians Incorporated | 12605 E 16th Ave, Uchealth Anschutz Medical Campus, Aurora, CO 80045-2545 |
| Street Address |
13123 E 16TH AVE CHILDREN'S HOSPITAL COLORADO |
| City | AURORA |
| State | CO |
| Zip | 80045-7106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan W Orsborn | Emergency Medicine | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Melissa K Jarrell | Anesthesiology Assistant | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Jill M Marks | Nurse Practitioner | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Maggi S Markwell | Anesthesiology Assistant | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Hannah J Long | Physician Assistant | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Abby C Richards | Obstetrics/gynecology | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Diana Francu | Internal Medicine | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Robert Elliot Kramer | Gastroenterology | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Monica J Federico | Pulmonary Disease | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Amanda J Johnson | Obstetrics/gynecology | University Physicians, Incorporated | 13123 E 16th Ave, Children's Hospital Colorado, Aurora, CO 80045-7106 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Tierney Yost | Certified Registered Nurse Anesthetist (crna) | University Physicians, Incorporated | 1675 Aurora Ct, Aurora, CO 80045-2517 |
| Christopher J Lace | Anesthesiology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Matthew L Hartman | Ophthalmology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Nancy L Sprecker | Certified Registered Nurse Anesthetist (crna) | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Marc T Mathias | Ophthalmology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Prem Subramanian | Diagnostic Radiology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Dan Miller | Certified Registered Nurse Anesthetist (crna) | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Scott W Davis | Nephrology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Darren G Gregory | Ophthalmology | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Anne Sage | Certified Registered Nurse Anesthetist (crna) | University Physicians, Incorporated | 1665 Aurora Ct, Aurora, CO 80045-2517 |
| Find all physicians in zip 80045 | |||
| City | AURORA |
| Zip Code | 80045 |
| Specialty | CERTIFIED NURSE MIDWIFE |
| City + Specialty | AURORA + CERTIFIED NURSE MIDWIFE |
Please comment or provide details below to improve the information on Amy M 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.