William S Wallace (NPI# 1467429860, PAC ID# 8224136171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467429860 |
| PAC ID by PECOS | 8224136171 |
| Professional Enrollment ID | I20161220001599 |
| Full Name | William S Wallace |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address |
720 W Central Ave Sba Med Group Occupational Medicine El Dorado KS 67042-2112 |
| Phone Number | 3163213300 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719898980 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 W Central Ave, 105 Sba Medical Group Orthopedics, El Dorado, KS 67042-2187 | 3163218757 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 | 3163213300 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith H Stringer | Nurse Practitioner | Susan B Allen Memorial Hospital | 401 W 7th Ave, 101 Augusta Immediate Care Clinic, Augusta, KS 67010-1309 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Russell R Mccaig | Physician Assistant | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Crystal D Faudere | Family Medicine | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Phillip S Olsen | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Kevin A Heath | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Patricia M Petrakis | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Ashley M Greer | Nurse Practitioner | Susan B Allen Memorial Hospital | 720 W Central Ave, 111 Sba Medical Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Street Address |
720 W CENTRAL AVE SBA MED GROUP OCCUPATIONAL MEDICINE |
| City | EL DORADO |
| State | KS |
| Zip | 67042-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Jeremy D Bearden | Emergency Medicine | Emergency Services of Kansas, P.a. | 720 W Central Ave, El Dorado, KS 67042-2144 |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Kyle M Tipton | Internal Medicine | 720 W Central Ave, Susan B Allen Memorial Hospital, El Dorado, KS 67042-2112 | |
| Phillip S Olsen | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Kevin A Heath | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Patricia M Petrakis | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Ashley M Greer | Nurse Practitioner | Susan B Allen Memorial Hospital | 720 W Central Ave, 111 Sba Medical Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Molly Ann Vanpetten | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry L Abraham | Podiatry | 321 N Main St, Eldorado, KS 67042-2021 | |
| Dawn M Gadberry | Clinical Social Worker | South Central Mental Health Counseling Center, Inc | 524 N Main St, El Dorado, KS 67042-2024 |
| Gregory P Joyce | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Rosemarie A Wilson | Chiropractic | 215 N Vine St, El Dorado, KS 67042-2055 | |
| Amanda L Hursh | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Henry R Kuhns Jr. | Internal Medicine | 720 W Central, El Dorado, KS 67042-2112 | |
| Shravani Vindhyal | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Kevin W Jacobs | Certified Registered Nurse Anesthetist (crna) | Mid-america Anesthesia Professionals LLC | 720 W Central Ave, El Dorado, KS 67042-2112 |
| Caleb W Grove | Physician Assistant | Susan B Allen Memorial Hospital | 700 W Central Ave, 202 Sba Medical Group Audiology, El Dorado, KS 67042-2112 |
| Susan Kay Ashida Anderson | Registered Dietitian Or Nutrition Professional | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Find all physicians in zip 67042 | |||
| City | EL DORADO |
| Zip Code | 67042 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EL DORADO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on William S 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.