DR. RICHARD AUSTIN WALLACE (NPI# 1013957034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013957034 |
| Entity Type | Individual |
| Full Name | DR. RICHARD AUSTIN WALLACE |
| Credential | MD |
| Practice Address |
1306 Kanawha Blvd E Charleston WV 25301-3001 |
| Practice Telephone | 3043434371 |
| Practice Fax Number | 3043530215 |
| Mailing Telephone | 3043434371 |
| Mailing Fax Number | 3043530215 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
WV11648 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 010107500 | 05 | |
| WV | NPI | 1013957034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811434400 | Richard Wallace | Registered Nurse | 4905 Hackamore Dr N, Colorado Springs, CO 80918-2632 | 2017-01-20 |
| 1023242112 | Richard Lance Wallace | Physical Therapist | 1034 Buchanan Bridge Rd, Chesterfield, SC 29709-6154 | 2009-05-05 |
| 1063656262 | Richard Scott Wallace | Social Worker | 10625 Redmond Rd, Austin, TX 78739-1654 | 2009-05-01 |
| 1710105911 | Richard Franklin Wallace | Marriage & Family Therapist | 3341 M St, Merced, CA 95348-2714 | 2007-04-23 |
| 1326199043 | Richard J. Wallace | Counselor | 1930 Stuart St, Berkeley, CA 94703-2215 | 2007-01-16 |
| 1750458402 | Richard Dean Wallace | Nutritionist | 914 13th Ave South, Great Falls, MT 59405 | 2006-11-29 |
| 1427155001 | Richard Lange Wallace | Psychiatry & Neurology | 8858 Scenic Bay Dr, Las Vegas, NV 89117-1026 | 2006-09-17 |
| 1275586448 | Richard Peterkin Wallace | Family Medicine | 1001 S Fort Harrison Ave, Suite 101, Clearwater, FL 33756-3941 | 2006-05-18 |
| 1881656940 | Richard M. Wallace | Specialist | 925 Highland Blvd., Suite 1180, Bozeman, MT 59715 | 2006-04-04 |
| 1972596443 | Richard J Wallace | Dentist | 20921 E Smoky Hill Rd, Suite A, Centennial, CO 80015 | 2005-08-30 |
| Street Address |
1306 KANAWHA BLVD E |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320869 | Mountaineer Radiologists Inc | Radiology | 1306 Kanawha Blvd E, Building 2, Charleston, WV 25301-3000 | 2005-07-15 |
| 1285131144 | Charleston Surgical Hospital Healthcare Group, Pllc | Surgery | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2018-04-09 |
| 1649780768 | Anthony Gray | Registered Nurse | 1306 Kanawha Blvd E, Charleston, WV 25301 | 2017-10-03 |
| 1871961110 | Belu Nunley | Physical Therapist | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2015-09-03 |
| 1932506102 | Susan Arbogast | Physical Therapist | 1306 Kanawha Blvd E, Charleston, WV 25301-3000 | 2014-12-03 |
| 1588084909 | Cory Frame | Registered Nurse | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-04-24 |
| 1659795136 | Michelle Webb | Technician/Technologist | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2014-02-05 |
| 1073854543 | Envision Optical LLC | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2013-03-08 |
| 1588896336 | Leeann Johnson | General Acute Care Hospital | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2009-08-12 |
| 1518169663 | Richard Mcmaster Francis Jr. | Ophthalmology | 1306 Kanawha Blvd E, Charleston, WV 25301-3001 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881959864 | Habib Rizk | Otolaryngology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393474 | B Joseph Touma | Otolaryngology | 5170 Us Rt 60 East, Suite 100, Huntington, WV 25705 | 2005-08-12 |
| 1215939863 | Joseph B Touma | Otolaryngology | 1616 13th Ave, Suite 100, Huntington, WV 25701-1692 | 2005-08-12 |
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on DR. RICHARD AUSTIN WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.