CATHERINE WALLACE (NPI# 1154946606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154946606 |
| Entity Type | Individual |
| Full Name | CATHERINE WALLACE |
| Credential | MD |
| Practice Address |
1120 15th St Augusta GA 30912-0006 |
| Mailing Address |
1814 Verdery St Augusta GA 30904-5716 |
| Practice Telephone | 7067212519 |
| Mailing Telephone | 4045434506 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 11943 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033200431 | Catherine Wallace | Nurse Practitioner | 1250 E 9th St, Des Moines, IA 50316-2316 | 2006-09-28 |
| 1154895647 | Catherine Wallace | Physician Assistant | 631 Professional Dr Ste 120, Lawrenceville, GA 30046-3370 | 2019-01-17 |
| 1083130827 | Catherine Jessica Wallace | Student in an Organized Health Care Education/Training Program | 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 | 2017-08-14 |
| 1679095178 | Catherine Kelly Wallace | Counselor | 625 Delaware Ave Ste 204, Buffalo, NY 14202-1007 | 2017-07-17 |
| 1497118335 | Catherine Lauren Wallace | Family Medicine | 1125 N Church St, Greensboro, NC 27401-1007 | 2016-03-29 |
| 1528439171 | Catherine Wallace | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2015-10-08 |
| 1598150575 | Catherine Maria Caska Wallace | Psychologist | 1660 S Columbian Way # 116mhc, Seattle, WA 98108-1532 | 2015-04-06 |
| 1518918036 | Catherine M. Wallace | Pediatrics | 100 N Academy Ave, Danville, PA 17822-2710 | 2006-05-12 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790248953 | Michael Oberle | Urology | 1120 15th St Rm Baa 8415, Augusta, GA 30912-4050 | 2019-04-12 |
| 1063879005 | Urology Clinics of North Texas, Pllc | Urology | 971 Broad St, #3, Augusta, GA 30901-7225 | 2016-01-21 |
| 1548885023 | Merry Ma | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-10 |
| 1790342590 | Joshua Hunter Lambert | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2019-05-28 |
| 1447741178 | Eric Thomas | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2018-05-29 |
| 1801316625 | Rashid Sayyid | Urology | 1120 15th St., Augusta, GA 30912 | 2017-06-22 |
| 1104354760 | Matthew Kaufman | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2017-05-26 |
| 1912351255 | Eric Daniel Webb | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2016-04-22 |
| 1053784223 | Roy Witherington Sr. | Urology | 818 St. Sebastian Way, Augusta Urology Associates, Augusta, GA 30901 | 2015-11-10 |
| 1508247958 | William Gregory Simpson | Urology | 1120 15th St, Augusta, GA 30912-0004 | 2015-06-11 |
| Find all providers in AUGUSTA | ||||
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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.