DR. AARON JACK WALLACE


Address: 4802 E Johnson Ave, Jonesboro, AR 72401-6007
Phone: 8709368523

DR. AARON JACK WALLACE (NPI# 1275701963) 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) 1275701963
Entity Type Individual
Full Name DR. AARON JACK WALLACE
Credential MD
Practice Address 4802 E Johnson Ave
Jonesboro
AR 72401-6007
Mailing Address Po Box 1960
Jonesboro
AR 72403-1960
Practice Telephone 8709368523
Practice Fax Number 8709343633
Mailing Telephone 8709368523
Mailing Fax Number 8709343633
Enumeration Date 2008-02-14
Last Update Date 2014-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery E-6150 AR Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery MD428274 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5H582 01
AR 179031001 05

Other Providers AARON WALLACE

NPI Name Taxonomy Address Enumeration
1558981688 Aaron Schuyler Wallace Otolaryngology 5841 S Maryland Ave # Mc1035, Chicago, IL 60637-1443 2020-04-18
1689211468 Aaron Wallace Counselor 3600 Meridian St, Bellingham, WA 98225-1756 2019-11-29
1336636455 Aaron Faye Wallace Student in an Organized Health Care Education/Training Program 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2018-04-14
1073037016 Aaron Michael Wallace Student in an Organized Health Care Education/Training Program 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 2017-08-01
1851551279 Aaron David Wallace Anesthesiology 3626 Ruffin Rd, San Diego, CA 92123-1810 2008-06-10
1023107414 Aaron Wallace Counselor 2130 E 4th St, Suite 200, Santa Ana, CA 92705-3818 2006-10-12

Office Location

Street Address 4802 E JOHNSON AVE
City JONESBORO
State AR
Zip Code 72401-6007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699779686 Paul S Levy Thoracic Surgery (Cardiothoracic Vascular Surgery) 4802 E Johnson Ave, Jonesboro, AR 72401 2005-06-08
1316546138 Emily M Allen Nurse Practitioner 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2020-10-22
1699387274 Sarah E Dulaney Clinical Nurse Specialist 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2020-08-17
1154965036 Danny Lee Ricker Nurse Practitioner 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-11-04
1679117659 Ryan Scott Anderson Clinical Nurse Specialist 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-11-01
1366086787 Jennifer L Turnbow Nurse Practitioner 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-10-29
1487201703 Mary Daniel Johnson Dietitian, Registered 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-08-21
1285288357 Kellye P Brown Nurse Practitioner 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-07-28
1801448592 Helen F Williams Nurse Practitioner 4802 E Johnson Ave, Jonesboro, AR 72405-8413 2019-07-12
1801350285 Brandy N Herrington Physician Assistant 4802 E Johnson Ave, Jonesboro, AR 72401-8413 2019-01-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
Find all providers in zip 72401

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578840237 Bill T. Shanlever Orthopaedic Surgery 1103 Wilkins Ave, Jonesboro, AR 72401 2011-11-09
1164618526 James L Schrantz M.d. P.a. Orthopaedic Surgery 1000 E Matthews Ave Ste D, Jonesboro, AR 72401-4344 2007-09-19
1538131784 James Schrantz Orthopaedic Surgery 1000d East Matthews Ave, Jonesboro, AR 72401-4307 2006-02-02
1124099841 Spencer Hart Guinn Orthopaedic Surgery 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 2006-01-30
1225036924 John Franklin Ball Orthopaedic Surgery 300 Carson St, Jonesboro, AR 72401-3104 2005-07-07
1437698776 Orthopedic Solutions, PC Orthopaedic Surgery 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 2017-02-20
1174923478 Southern Crescent Physicians Group, Inc. Orthopaedic Surgery 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 2014-08-25
1235561341 St. Bernards Orthopedic Associates, Inc. Orthopaedic Surgery 1007 E Matthews Ave, Jonesboro, AR 72401-4308 2013-07-31
1124463807 Ronald Angelo Sismondo Jr. Orthopaedic Surgery 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 2013-05-07
1932428471 Opeyemi Elaine Lamikanra Orthopaedic Surgery 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 2010-05-24
Find all providers in JONESBORO

Competitor

Search similar providers

City JONESBORO
Zip Code 72401

Improve Information

Please comment or provide details below to improve the information on DR. AARON JACK WALLACE.

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.

Trending Searches