Diana R Wallace (NPI# 1710993845, PAC ID# 6103998257) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1710993845 |
| PAC ID by PECOS | 6103998257 |
| Professional Enrollment ID | I20100223000272 |
| Full Name | Diana R Wallace |
| Organization Legal Name | ROME MEDICAL PRACTICE PC |
| Address |
7900 Turin Rd Bldg 4 Rome NY 13440-1900 |
| Phone Number | 3153387284 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456366145 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 107 E Chestnut St, 102 Rome Ortho and Sports, Rome, NY 13440-2834 | 3153389200 | ROME MEDICAL PRACTICE PC |
| 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 | 3153387284 | ROME MEDICAL PRACTICE PC |
| Organization Legal Name | ROME MEDICAL PRACTICE PC |
| Physicians | 1 |
| Street Address |
7900 TURIN RD BLDG 4 |
| City | ROME |
| State | NY |
| Zip | 13440-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Carolyn Lerum | Nurse Practitioner | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joann Roberts | Certified Nurse Midwife (cnm) | Oneida Medical Services, Pllc | 8080 Turin Rd, Rome, NY 13440-1910 |
| James D Eagan | Physician Assistant | Ipc Hospitalist Services of New York PC | 8299 Turin Rd, Rome, NY 13440-1913 |
| Richard Mutty | Orthopedic Surgery | 7980 Turin Rd, Suite 4, Rome, NY 13440-1934 | |
| Sarah C Alexander | Nurse Practitioner | Cny Medicine and Allergy PC | 7900 Turin Rd/route 26 N, Beeches Professional Campus Bldg 2 Suites 1 and 2, Rome, NY 13440-1998 |
| Colleen A Vernold | Clinical Social Worker | 6676 Potter Rd, Rome, NY 13440-2016 | |
| Daniel E Burgdorf | Chiropractic | 7750 Merrick Rd, Rome, NY 13440-2136 | |
| Michael E Burgdorf | Chiropractic | 7750 Merrick Rd, Rome, NY 13440-2136 | |
| Mark C Anken | Chiropractic | 7864 Turin Rd, Rome, NY 13440-2145 | |
| Jennifer Lavesa-cesana | Family Medicine | Ridge Mills Physician Services Pllc | 7845 Rome Westernville Rd, Rome, NY 13440-2202 |
| Antonino T Dimarco | Internal Medicine | Ridge Mills Physician Services Pllc | 7845 Rome Westernville Rd, Rome, NY 13440-2202 |
| Find all physicians in zip 13440 | |||
| City | ROME |
| Zip Code | 13440 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ROME + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Diana R 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.