DR. ROBERT STEVEN WALLIS (NPI# 1154555738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154555738 |
| Entity Type | Individual |
| Full Name | DR. ROBERT STEVEN WALLIS |
| Credential | M.D. |
| Practice Address |
55 Saunders Hollow Rd Old Lyme CT 06371-1127 |
| Practice Telephone | 8605989160 |
| Mailing Telephone | 8605989160 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD037184 | DC | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25MA07059900 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295854974 | Robert Randolph Wallis | Family Medicine | 547 Lupin St, Bellaire, TX 77401-5023 | 2007-03-27 |
| 1255782439 | Robert Wallis | Counselor | 8792 County Road 135, Kaufman, TX 75142-5872 | 2016-06-28 |
| Street Address |
55 SAUNDERS HOLLOW RD |
| City | OLD LYME |
| State | CT |
| Zip Code | 06371-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761877 | Sabine Odonnell LLC | Marriage & Family Therapist | 80 Halls Rd, Old Lyme, CT 06371 | 2019-10-15 |
| 1619487162 | Emily Chung | Pharmacist | 42 Browns Ln, Old Lyme, CT 06371 | 2017-10-10 |
| 1659822088 | Mona Saleh Hassan | Nurse Practitioner | Medoptions, 55 Hatchetts Hill Road, Old Lyme, Ct, CT 06371 | 2016-10-20 |
| 1740653278 | New England Pa LLC | Physician Assistant | 5 Davis Road East, Old Lyme, CT 06371 | 2015-11-05 |
| 1932586682 | Northeast Plastic Surgery Center LLC | Surgery | 5-1 Davis Road West, Suite 3, Old Lyme, CT 06371 | 2015-05-01 |
| 1285956987 | Karl R. Friedmann | Family Medicine | 40 Coult Lane, Old Lyme, CT 06371 | 2010-02-22 |
| 1285844977 | Cary L. Walker | Social Worker | 6 Town Street, Lyme, CT 06371 | 2007-05-23 |
| 1578784765 | Lynne Zimmerman | Psychologist | 16 Library Ln, Old Lyme, CT 06371 | 2007-05-02 |
| 1588784375 | Jan Fitzgerald Briscoe | Marriage & Family Therapist | 81 Halls Rd Unit C, Old Lyme, CT 06371 | 2007-03-29 |
| 1588702583 | Karl M Goldkamp | Naturopath | 81 Halls Road, Old Lyme, CT 06371 | 2007-02-02 |
| Find all providers in zip 06371 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768944 | Michael William Dunne | Internal Medicine | 30 Cromwell Pl, Old Saybrook, CT 06475-2512 | 2020-04-14 |
| 1548673627 | Scott Roberts | Internal Medicine | 789 Howard Ave # 3, New Haven, CT 06519-1304 | 2014-06-06 |
| 1568702629 | Infectious Disease Consultancy, LLC | Internal Medicine | 9 Hickory Ln, Woodbridge, CT 06525-1433 | 2013-02-26 |
| 1730443698 | Roger Madison Echols | Internal Medicine | 753 Westport Rd, Easton, CT 06612-1535 | 2012-06-26 |
| 1750642930 | Daniel Alfred Scott | Internal Medicine | 63 Ridgecrest Dr, Ridgefield, CT 06877-2534 | 2012-06-04 |
| 1972861896 | Peter J Piliero | Internal Medicine | 625 Patriot Rd, Southbury, CT 06488-3223 | 2012-04-28 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1780979526 | Marwan Azar | Internal Medicine | 300 Cedar St # S169, New Haven, CT 06519-1612 | 2011-06-09 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1811129463 | Jeanne Demars Breen | Internal Medicine | 229 Hidden Cove Rd, Old Saybrook, CT 06475-1620 | 2009-08-17 |
| Find all providers with the same taxonomy | ||||
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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.