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).
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 |
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 |
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 |
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 |
Street Address |
401 COLLEGE ST |
City | RICHMOND |
State | VA |
Zip Code | 23298-5017 |
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 |
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 Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
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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.