Dustin P Wallace (NPI# 1679705214, PAC ID# 9931391349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679705214 |
| PAC ID by PECOS | 9931391349 |
| Professional Enrollment ID | I20101004001126 |
| Full Name | Dustin P Wallace |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
740 E State St Steward Medical Group Sharon PA 16146-3328 |
| Phone Number | 7249833911 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390036 | HERITAGE VALLEY BEAVER |
| 390016 | JAMESON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Knowlson Ave, Beaver Falls, PA 15010-1634 | 7248912100160 | VALLEY GASTROENTEROLOGY ASSOCIATES PC |
| 2602 Wilmington Rd, New Castle, PA 16105-1598 | 7246525505 | VALLEY GASTROENTEROLOGY ASSOCIATES PC |
| 740 E State St, Steward Medical Group, Sharon, PA 16146-3328 | 7249833911 | STEWARD MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 79% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 89% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 98% |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
740 E STATE ST STEWARD MEDICAL GROUP |
| City | SHARON |
| State | PA |
| Zip | 16146-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maninder Bedi | Cardiovascular Disease (cardiology) | Regional Cardiac Arrhythmia Inc | 740 E State St, Sharon, PA 16146-3328 |
| Larae Tymochko | Physician Assistant | Steward Medical Group Inc | 740 E State St, Steward Medical Group, Sharon, PA 16146-3328 |
| Christopher Paul Kolibash | Internal Medicine | Regional Cardiac Arrhythmia Inc | 740 E State St, Sharon, PA 16146-3328 |
| Linda J Van Eman | Nurse Practitioner | Emergency Medicine Physicians of Mercer County, Ltd. | 740 E State St, Sharon, PA 16146-3328 |
| Randy K Metcalf | Cardiac Surgery | Steward Medical Group Inc | 740 E State St, Steward Medical Group, Sharon, PA 16146-3328 |
| Nida Shemmeri | Pathology | Steward Medical Group Inc | 740 E State St, Steward Medical Group, Sharon, PA 16146-3328 |
| John Jeffrey Cortina | Internal Medicine | Usacs Integrated Acute Care Services of Pennsylvania, Ltd. | 740 E State St, Sharon, PA 16146-3328 |
| Christopher T Breznai | Certified Registered Nurse Anesthetist (crna) | Steward Anesthesiology Physicians of Pennsylvania Inc | 740 E State St, Sharon, PA 16146-3328 |
| Benita Anne Rice | Certified Registered Nurse Anesthetist (crna) | Steward Anesthesiology Physicians of Pennsylvania Inc | 740 E State St, Sharon, PA 16146-3328 |
| Robert Emerson Dale Iii | Physician Assistant | Steward Medical Group Inc | 740 E State St, Steward Medical Group, Sharon, PA 16146-3328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Ways | Optometry | 89 E State St, Sharon, PA 16146-1704 | |
| Morren J Greenburg | General Practice | Sharon Community Health Center | 94 W Connelly Blvd, Sharon, PA 16146-1754 |
| Ardell T Meyer | Clinical Social Worker | Sharon Community Health Center | 94 W Connelly Blvd, Sharon, PA 16146-1754 |
| Raquel J Diaz-guerrero | Psychiatry | Sharon Community Health Center | 94 W Connelly Blvd, Sharon, PA 16146-1754 |
| Stanislav V Byshenko | Internal Medicine | Sharon Community Health Center | 94 W Connelly Blvd, Sharon, PA 16146-1754 |
| Agnieszka Gauthier | Psychiatry | Sharon Community Health Center | 94 W Connelly Blvd, Sharon, PA 16146-1754 |
| Kenneth R Bill | Psychiatry | 272 E Connelly Blvd, Sharon, PA 16146-1852 | |
| Richard Humphrey | Nurse Practitioner | Primary Health Network | 63 Pitt St, Sharon, PA 16146-2102 |
| Joan Marie Humphrey | Nurse Practitioner | Primary Health Network | 63 Pitt St, Sharon, PA 16146-2102 |
| John P Gallagher | Obstetrics/gynecology | Primary Health Network | 63 Pitt St, Sharon, PA 16146-2102 |
| Find all physicians in zip 16146 | |||
| City | SHARON |
| Zip Code | 16146 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SHARON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dustin P 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.