TIMOTHY J WALLACE


Address: 401 College St, Richmond, VA 23298-5017
Phone: 8048287232

TIMOTHY J WALLACE (NPI# 1033328703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033328703
Entity Type Individual
Full Name TIMOTHY J WALLACE
Credential MD
Practice Address 401 College St
Richmond
VA 23298-5017
Mailing Address Po Box 91734
Richmond
VA 23291-1734
Practice Telephone 8048287232
Practice Fax Number 8048286042
Mailing Telephone 8043586100
Mailing Fax Number 8043427619
Enumeration Date 2007-05-21
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
0101242596 VA Allopathic & Osteopathic Physicians
N 208800000X Urology 0101242596 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Richmond, VA 232985051 8048287232 8048286042
8222 Meadowbridge Rd, Mechanicsville, VA 231162331 8045591835 8045591855
9000 Stony Point Pkwy, Richmond, VA 232351900 8043273040 8043273068

Other Providers TIMOTHY WALLACE

NPI Name Taxonomy Address Enumeration
1063438307 Timothy Mark Wallace Chiropractor 4357 Phelan Rd, Phelan, CA 92371-7675 2006-07-13
1437149739 Timothy R Wallace Psychologist 125 Nashua Street, Spaulding Rehab Hospital, Boston, MA 02114-1198 2005-10-27
1619527611 Timothy Wallace Case Manager/Care Coordinator 774 Internet Dr, Columbus, OH 43207-2589 2019-09-12
1396987657 Timothy Brian Wallace II Anesthesiology 550 Peachtree St Ne, Atlanta, GA 30308-2212 2009-04-01
1003072414 Timothy Thomas Wallace Jr. Registered Nurse 10000 Brecksville Rd, Brecksville, OH 44141-3204 2008-08-05
1275725384 Timothy R Wallace Family Medicine 855 N Westhaven Dr, Oshkosh, WI 54904-7668 2007-08-13
1720013121 Timothy M Wallace Pathology 36500 Aurora Dr, Summit, WI 53066-4899 2006-07-12
1841215902 Timothy Brian Wallace Anesthesiology 6605 Abercorn St, Suite 108, Savannah, GA 31405-5815 2006-07-12
1700850674 Timothy Wallace Physician Assistant 450 Clarkson Ave, Box 56, Brooklyn, NY 11203-2056 2006-02-15

Office Location

Street Address 401 COLLEGE ST
City RICHMOND
State VA
Zip Code 23298-5017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477113058 Sara Baffuto Nurse Practitioner 401 College St, Richmond, VA 23298 2019-06-17
1689094930 Hann-hsiang Chao Radiology 401 College St, Richmond, VA 23298-5017 2014-04-24
1235497967 Nicholas Anthony Serrano Radiology 401 College St, Richmond, VA 23298-5017 2012-05-01
1972834232 Caroline Lucas Nurse Practitioner 401 College St, Vcuhs At Massey Cancer Center, Richmond, VA 23298-5017 2010-01-26
1356505291 Alfredo I Urdaneta Radiology 401 College St, Ronc: Radiation Oncology, Richmond, VA 23298-5017 2008-07-10
1023168788 Mary E Tombes Registered Nurse 401 College St, Vcu Massey Cancer Center, Room G-125, Richmond, VA 23298-5017 2007-01-12
1750302279 Michael Chang Radiology 401 College St, Richmond, VA 23298-5017 2006-07-21
1962448886 Abu A Qutubuddin Physical Medicine & Rehabilitation 401 College St, Richmond, VA 23298-5017 2006-06-20
1932164274 Thomas J Eichler Radiology 401 College St, Richmond, VA 23298 2006-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730703604 Russell Wayne Dowell Student in an Organized Health Care Education/Training Program Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 2020-06-05
1215551262 Anna Leigh Cline Student in an Organized Health Care Education/Training Program Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 2020-06-05
1598389629 Annabel Eujung Baek Student in an Organized Health Care Education/Training Program Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 2020-06-04
1235752957 Valerie Tammy Tran Student in an Organized Health Care Education/Training Program Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 2020-05-28
1386267193 Michael Terribile Student in an Organized Health Care Education/Training Program Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 2020-05-27
1417585449 Ryan Louis Naum Student in an Organized Health Care Education/Training Program Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 2020-03-27
1477102531 Shanon Fitzpatrick Beam Nurse Practitioner Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 2019-09-10
1922666924 Sumerth Kumar Pathak Student in an Organized Health Care Education/Training Program Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
1467010595 Christopher Bednarz Student in an Organized Health Care Education/Training Program Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
1629636782 Nicholet Mitchell Student in an Organized Health Care Education/Training Program Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 2019-06-04
Find all providers in zip 23298

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255836953 Raj Singh Radiology Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 2018-03-26
1225200132 Timothy J Harris Radiology 401 College Street, Richmond, VA 23298-0058 2008-03-31
1407881907 Commonwealth Primary Care Radiology 1109 West Marshall Street, Richmond, VA 23220 2006-07-12
1124009600 Bernard Alvan Tisdale Radiology 1109 W Marshall St, Richmond, VA 23220-3835 2005-11-10
1568454163 John P Jacobs Radiology 1401 Chester Blvd, Richmond, IN 47374-1908 2005-08-19
1801206818 Christopher Chipko Radiology 9101 Stony Point Dr, Richmond, VA 23235 2014-04-29
1689094930 Hann-hsiang Chao Radiology 401 College St, Richmond, VA 23298-5017 2014-04-24
1235497967 Nicholas Anthony Serrano Radiology 401 College St, Richmond, VA 23298-5017 2012-05-01
1356608434 Joseph Daniel Pennington Radiology 9101 Stony Point Dr, Richmond, VA 23235 2012-04-13
1629393186 Matthew E Schutzer Radiology 1201 Broad Rock Blvd, Dept of Radiation Oncology, Mcguire Vamc, Richmond, VA 23224-4915 2010-03-28
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23298

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Dataset Information

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.

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