MS. JOYCE L WALLACE (NPI# 1104931682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104931682 |
| Entity Type | Individual |
| Full Name | MS. JOYCE L WALLACE |
| Credential | PA-C |
| Practice Address |
180 Sawgrass Dr Ste 210 Rochester NY 14620 |
| Mailing Address |
601 Elmwood Ave Box 604 Rochester NY 14642-0001 |
| Practice Telephone | 5852421300 |
| Practice Fax Number | 5854735007 |
| Mailing Telephone | 5852752141 |
| Mailing Fax Number | 5852447271 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
016345 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| 1942432851 | Joyce W Wallace | Counselor | 3211 Mallard Hill Dr, Apt 203, Charlotte, NC 28269-2069 | 2009-08-12 |
| 1295890838 | Joyce Anne Wallace | Counselor | 146 Herring Pond Rd, Plymouth, MA 02360-1221 | 2006-12-26 |
| 1154483675 | Joyce Irene Wallace | Internal Medicine | 4 Ocean Ave, Ocean Grove, Ocean Grove, NJ 07756-1691 | 2006-12-14 |
| 1003246257 | Joyce Wallace | Registered Nurse | 2165 Herschel St, Jacksonville, FL 32204-3819 | 2013-11-24 |
| 1780725762 | Joyce R Wallace | Psychologist | 1200 Nw South Outer Rd, Ste 310, Blue Springs, MO 64015-3072 | 2007-02-10 |
| Street Address |
180 SAWGRASS DR STE 210 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730573643 | Ehab Saed Bakry Meselhy | Anesthesiology | 180 Sawgrass Dr Ste 210, Rochester, NY 14620-4651 | 2015-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| Find all providers in ROCHESTER | ||||
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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.