CATHERINE WALLACE


Address: 1120 15th St, Augusta, GA 30912-0006
Phone: 7067212519

CATHERINE WALLACE (NPI# 1154946606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 11943 GA Allopathic & Osteopathic Physicians

Other Providers CATHERINE WALLACE

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

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0006

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City AUGUSTA
Zip Code 30912

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Dataset Information

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.

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