STEVEN F. WALLACE (NPI# 1114986551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114986551 |
| Entity Type | Individual |
| Full Name | STEVEN F. WALLACE |
| Credential | M.D.,PH.D. |
| Practice Address |
4545 Cordata Pkwy Bellingham WA 98226-7123 |
| Mailing Address |
Po Box 5096 Bellingham WA 98227-5096 |
| Practice Telephone | 3607382200 |
| Practice Fax Number | 3607525679 |
| Mailing Telephone | 3607382200 |
| Mailing Fax Number | 3607525679 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00030069 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | AETNA | 4421406 | 01 |
| WA | 8152464 | 05 | |
| WA | L&I AND CRIME VICTIMS | 0229986 | 01 |
| WA | REGENCE | 2854WA | 01 |
| WA | 1114986551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779950 | Steven Mark Wallace | Massage Therapist | 1001 W. Oak St. Bldg C. Ste. 210, Bozeman, MT 59715 | 2018-02-02 |
| 1073029864 | Steven E Wallace | Community/Behavioral Health | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-12-16 |
| 1922461847 | Steven James Wallace | Developmental Therapist | 345a Greenwood St Ste B, Worcester, MA 01607-1753 | 2016-03-29 |
| 1851713952 | Steven Gregory Wallace Jr. | Physician Assistant | 511 W Alexander St, Plant City, FL 33563-7116 | 2014-01-09 |
| 1457515587 | Steven Earl Wallace | Specialist/Technologist, Other | 1065 Bucks Lake Rd, Quincy, CA 95971-9507 | 2008-07-17 |
| Street Address |
4545 CORDATA PKWY |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98226-7123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155892 | Kenneth B. Gass | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1447723168 | Ruth Louise Hidy | Nurse Practitioner | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2019-01-04 |
| 1952840324 | Sabra Napolitano | Physician Assistant | 4545 Cordata Pkwy, Suite 1c, Bellingham, WA 98226-7263 | 2017-02-18 |
| 1952846248 | Shelley Johnson | Occupational Therapist | 4545 Cordata Pkwy, Suite Ll4, Bellingham, WA 98226-7263 | 2016-12-22 |
| 1134575608 | Katrina Michelle Murphy | Physician Assistant | 4545 Cordata Pkwy, Suite 2a & 2b, Bellingham, WA 98226-7263 | 2016-05-13 |
| 1821492281 | Rajinder Claire | Pharmacist | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2014-10-14 |
| 1508289521 | Travis Callender | Nurse Practitioner | 4545 Cordata Pkwy, Cordata Main, Bellingham, WA 98226-7263 | 2014-01-27 |
| 1548683774 | Lisa N. Brodsky | Nurse Practitioner | 4545 Cordata Pkwy, Suite 2c, Bellingham, WA 98226-7263 | 2014-01-23 |
| 1790106839 | Eric Johnson | Physician Assistant | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-12-16 |
| 1245678986 | Erika Lynn Myers | Nurse Practitioner | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901090 | Advancement Northwest, LLC | Community/Behavioral Health | 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 | 2020-01-13 |
| 1295374882 | Unity Care Northwest | Community/Behavioral Health | Roosevelt Elementary School Bh Services, 2900 Yew St., Bellingham, WA 98226 | 2019-12-30 |
| 1710454913 | Shane Humason | Pharmacist | 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 | 2018-10-26 |
| 1508342759 | Lydia Place A Nonprofit Corporation | Counselor | 1430 North Garden Street, Bellingham, WA 98226 | 2018-07-11 |
| 1609384486 | Lindsay Grace Davis | Massage Therapist | 1572 Huntley Rd, Bellingham, WA 98226 | 2018-01-16 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1245754001 | Amber Michelle Wilson | Physical Therapy Assistant | 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 | 2017-08-02 |
| 1063935310 | Sophie Elizabeth Kangas | Speech-Language Pathologist | 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 | 2017-07-19 |
| 1639607849 | Sharon Lynn Katz-kunde | Physical Therapist | 317 E Mcleod Rd #101, Bellingham, WA 98226 | 2017-06-01 |
| 1376998179 | Hyowon Choi | Podiatrist | 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 | 2016-04-28 |
| Find all providers in zip 98226 | ||||
| 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 |
|---|---|---|---|---|
| 1609138429 | Surjeet S Gill | Pediatrics | Peacehealth: Pediatrics Group, 4545 Cordata Parkway, Suite 1e, Bellingham, WA 98226-7123 | 2012-06-08 |
| 1538427554 | Rachel Westerfield | Pediatrics | 4545 Cordata Pkwy Ste 1e, Pediatrics Group, Bellingham, WA 98226-7264 | 2012-04-27 |
| 1265739684 | Amy Haley | Pediatrics | 4545 Cordata Pkwy Ste 1f, Pediatrics, Bellingham, WA 98226-7123 | 2011-02-21 |
| 1316936164 | Emmanuel J. Eusebio | Pediatrics | Peacehealth Medical Group, 4545 Cordata Parkway, Suite 1f, Bellingham, WA 98226 | 2005-10-14 |
| 1437155892 | Kenneth B. Gass | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7123 | 2005-06-21 |
| 1366816753 | Jennie Mclaurin | Pediatrics | 220 Unity St, Bellingham, WA 98225 | 2015-11-23 |
| 1295147924 | George Vana | Pediatrics | 2592 Kwina Rd, Bellingham, WA 98226 | 2014-05-29 |
| 1548502735 | David F Pavlik | Pediatrics | 4545 Cordata Pkwy, Bellingham, WA 98226-7263 | 2013-03-26 |
| 1891037842 | Brooke Allen Jardine | Pediatrics | 4545 Cordata Pkwy Ste 1e, Bellingham, WA 98226-7264 | 2013-03-17 |
| 1063773141 | Faiza Iram | Pediatrics | 4455 Cordata Pkwy, Bellingham, WA 98226-8037 | 2012-06-05 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 98226 |
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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.