Meshia K Wallace (NPI# 1659635472, PAC ID# 7012156672) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1659635472 |
| PAC ID by PECOS | 7012156672 |
| Professional Enrollment ID | I20181105001290 |
| Full Name | Meshia K Wallace |
| Organization Legal Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Address |
2422 Village Professional S Dr Opelika AL 36801-4742 |
| Phone Number | 3345286800 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3072403237 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010029 | EAST ALABAMA MEDICAL CENTER AND SNF |
| 010065 | RUSSELL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 3347493411 | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| 2422 Village Professional S Dr, Opelika, AL 36801-4742 | 3345286800 | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Organization Legal Name | THE EAST ALABAMA HEALTHCARE AUTHORITY |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph P Monley | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Waverly Pkwy, Opelika, AL 36801-4739 |
| Kelley Taylor | Pathology | The East Alabama Healthcare Authority | 2412 Village Professional Dr S, Opelika, AL 36801-4742 |
| Frederick Mansur Aziz | Physical Medicine and Rehabilitation | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Eric R Senn | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Michael Nicholas Barbaree | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Russell P Herrington | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Donthamsetty A Rao | Pathology | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Ricky L Ledkins | Emergency Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| William Forrest Bonner | Nurse Practitioner | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Hunter S Lett | Family Medicine | The East Alabama Healthcare Authority | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 |
| Street Address |
2422 VILLAGE PROFESSIONAL S DR |
| City | OPELIKA |
| State | AL |
| Zip | 36801-4742 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Roach | Family Medicine | 7667 Alabama Hwy 51, Suite B, Opelika, AL 36801 | |
| Moses M Jones | Family Medicine | Auburn Urgent Care, Inc | 2638 Enterprise Dr, Opelika, AL 36801-1512 |
| Kevin L Jackson | Internal Medicine | 2430 Village Professional Dr, Opelika, AL 36801-2378 | |
| Sandra J Whitaker | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Ann Hadley | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Jennifer Smith | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| David Estep | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Peter J Lusche | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Sai K Nandamuru | Psychiatry | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Erica Kierce | Nurse Practitioner | East Alabama Physicians, LLC | 2740 Village Professional Dr, Opelika, AL 36801-2379 |
| Find all physicians in zip 36801 | |||
| City | OPELIKA |
| Zip Code | 36801 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | OPELIKA + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Meshia K 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.