Waymon Leland Wallace (NPI# 1841213667, PAC ID# 7315916335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841213667 |
| PAC ID by PECOS | 7315916335 |
| Professional Enrollment ID | I20040927001175 |
| Full Name | Waymon Leland Wallace |
| Address |
1577 Goodman Ave Suite A Cincinnati OH 45224-1044 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360056 | MERCY HOSPITAL FAIRFIELD |
| 360234 | MERCY HEALTH - WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1577 Goodman Ave, Suite A, Cincinnati, OH 45224-1044 |
| Street Address |
1577 GOODMAN AVE SUITE A |
| City | CINCINNATI |
| State | OH |
| Zip | 45224-1044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Justin | Internal Medicine | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Bryan V Fallis | Podiatry | 1577 Goodman Ave, Suite A, Cincinnati, OH 45224-1044 | |
| Sean P Davitt | Ophthalmology | Tri-state Centers for Sight Inc | 1577 Goodman Ave, Suite B, Cincinnati, OH 45224-1044 |
| Raha M Powell | Nurse Practitioner | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Terry R Leach | Optometry | Tri-state Centers for Sight Inc | 1577 Goodman Ave, Suite B, Cincinnati, OH 45224-1044 |
| Jacqueline M Schmidt | Nurse Practitioner | North College Hill Internal | 1577 Goodman Ave, Cincinnati, OH 45224-1004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles B Hafele | Chiropractic | 6527 Hamilton Ave, Cincinnati, OH 45224-1029 | |
| Philip James Poon | Ophthalmology | Tri-state Centers for Sight Inc | 1577 Goodman Ave B, Cincinnati, OH 45224-1044 |
| Anthereca Lane | Obstetrics/gynecology | 891 W N Bend Rd, Cincinnati, OH 45224-1340 | |
| Leroy Vickers | Family Medicine | Mercy Health Physicians Cincinnati LLC | 6540 Winton Rd, Cincinnati, OH 45224-1391 |
| Muhammad Adeel Mahmood | Endocrinology | Mercy Health Physicians Cincinnati LLC | 6540 Winton Rd, Cincinnati, OH 45224-1391 |
| Pamela Schaible | Family Medicine | Mercy Health Physicians Cincinnati LLC | 6540 Winton Rd, Cincinnati, OH 45224-1391 |
| Juanita Ramona Gaines | Internal Medicine | Mercy Health Physicians Cincinnati LLC | 6540 Winton Rd, Cincinnati, OH 45224-1391 |
| Marla J Kahn | Psychologist, Clinical | 1639 W N Bend Rd, Cincinnati, OH 45224-2023 | |
| James I Fidelholtz | Internal Medicine | 6103 Hamilton Ave, Cincinnati, OH 45224-2512 | |
| Van Pham | Psychologist, Clinical | Legacy Psychological Services, LLC | 5343 Hamilton Ave, Cincinnati, OH 45224-3130 |
| Find all physicians in zip 45224 | |||
| City | CINCINNATI |
| Zip Code | 45224 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CINCINNATI + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Waymon Leland 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.