CARMEL WALLACE JR. (NPI# 1063419000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063419000 |
| Entity Type | Individual |
| Full Name | CARMEL WALLACE JR. |
| Credential | MD |
| Practice Address |
138 Leader Ave, Office 241 University of Kentucky, Department of Pediatrics Lexington KY 40506-9983 |
| Practice Telephone | 8593231432 |
| Practice Fax Number | 8593233499 |
| Mailing Telephone | 8593231432 |
| Mailing Fax Number | 8593233499 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 18479 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64184799 | 05 |
| Street Address |
138 LEADER AVE, OFFICE 241 UNIVERSITY OF KENTUCKY, DEPARTMENT OF PEDIATRICS |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40506-9983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124218 | Jennifer Bannister Murphy | Student in an Organized Health Care Education/Training Program | University of Kentucky Health Care, 115 Scovell Hall, Lexington, KY 40506 | 2019-03-20 |
| 1376754655 | Bluegrass Community & Technical College Dental Hygiene Clinic | Dentist | 470 Cooper Drive, 250 Oswald Building, Lexington, KY 40506 | 2007-05-25 |
| 1821591926 | Andrew Fozzard | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40506 | 2018-03-14 |
| 1407387731 | Jingkun Wang | Surgery | University of Kentucky, Lexington, KY 40506 | 2017-03-27 |
| 1427381078 | Heather D. Coleman | Nurse Practitioner | 800 Rose St, Lexington, KY 40506 | 2009-09-15 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1427613470 | Kossa Diomande | Physician Assistant | 100 Funkhouser Building, Lexington, KY 40506-0001 | 2019-05-06 |
| 1144795659 | Brianna Diantonio | Specialist/Technologist | 712 Sports Center Drive, Lexington, KY 40506-0001 | 2018-10-11 |
| 1649766593 | Mostafa Tabaa | Dentist | 800 Rose St Dental Science Building Room# D432, Lexington, KY 40506-0001 | 2018-07-03 |
| 1083119804 | Perry Hooper | Student in an Organized Health Care Education/Training Program | 900 South Limestone Ctw 304, Lexington, KY 40506-0001 | 2018-03-25 |
| Find all providers in zip 40506 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
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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.