MATTHEW K WALLACE (NPI# 1356329114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356329114 |
| Entity Type | Individual |
| Full Name | MATTHEW K WALLACE |
| Credential | M.D. |
| Practice Address |
212 E Central Ave Ste 140 Spokane WA 99208-6289 |
| Mailing Address |
601 W 5th Ave Ste 400 Spokane WA 99204-2715 |
| Practice Telephone | 5094651300 |
| Practice Fax Number | 5094651313 |
| Mailing Telephone | 5093442663 |
| Mailing Fax Number | 5096249179 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2010-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60144423 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 47815 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2007981 | 05 | |
| MN | 265453900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746096 | Matthew Wallace | Pharmacist | 3200 St. Paul St, Baltimore, MD 21218 | 2016-08-28 |
| 1427321041 | Matthew Alexander Wallace | Physician Assistant | 7497 Bernard Dr, Temperance, MI 48182-1552 | 2012-02-13 |
| 1609012731 | Matthew Tristan Wallace | Orthopaedic Surgery | 701 Kingston Rd, Baltimore, MD 21212-1939 | 2008-12-19 |
| 1760426258 | Matthew Edwin Wallace | Specialist/Technologist | Creighton Uniuversity, 2500 California Plaza, Omaha, NE 68178-0001 | 2006-06-15 |
| 1881177806 | Matthew Evan Wallace | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-09-14 |
| 1255867784 | Matthew Malone Wallace | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298 | 2017-05-03 |
| 1841638897 | Matthew William Wallace | Emergency Medicine | 2815 South Seacrest Blvd, Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2013-06-12 |
| 1861706145 | Matthew Seymour Wallace | Dentist | 63 Geiger Rd, Rome, NY 13441-4324 | 2010-07-29 |
| 1487679627 | Matthew Brevard Wallace IIi | Family Medicine | 1200 Sunset Ln Ste 2210, Culpeper, VA 22701-3376 | 2006-07-12 |
| 1790740074 | Matthew D Wallace | Physical Therapist | Hss Ancillary Services, PC, 85 College St, Hamilton, NY 13346 | 2006-04-19 |
| Street Address |
212 E CENTRAL AVE STE 140 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336796119 | Northwest Orthopaedic Specialists, P.s. | Orthopaedic Surgery | 212 E Central Ave Ste 140, Spokane, WA 99208-6289 | 2019-08-26 |
| 1649613357 | Brett Steven Mulawka | Orthopaedic Surgery | 212 E Central Ave Ste 140, Spokane, WA 99208-6289 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174865216 | Jessica M Kohring | Orthopaedic Surgery | 12410 East Sinto Suite 201, Spokane, WA 99216-1200 | 2013-03-26 |
| 1992083216 | Providence Physician Services Co. | Orthopaedic Surgery | 820 S Mcclellan, Suite 300, Providence Orthopedic Specialties, Spokane, WA 99204 | 2011-08-03 |
| 1275663189 | Warren James Adams | Orthopaedic Surgery | 801 West Fifth Avenue, Suite 304, Spokane, WA 99204-2800 | 2007-03-07 |
| 1477608875 | Christopher Bateman Dewing | Orthopaedic Surgery | 2420 E 29th Ave Ste 100, Spokane, WA 99223-4868 | 2007-01-24 |
| 1639145618 | Andrew T Howlett | Orthopaedic Surgery | 820 S Mcclellan, Ste 300, Spokane, WA 99204-2450 | 2006-02-28 |
| 1457331043 | Glen Olsen Baird | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2006-01-19 |
| 1013917913 | Donald Scott Redman | Orthopaedic Surgery | 624 E Front Ave, Spokane, WA 99202-2139 | 2005-07-21 |
| 1811522501 | Northwest Orthopaedic Specialists, P.s. | Orthopaedic Surgery | 9310 N Division St, Spokane, WA 99218-1227 | 2020-03-03 |
| 1184259871 | Northwest Orthopaedic Specialists Ps | Orthopaedic Surgery | 2710 E 57th Ave, Spokane, WA 99223-6678 | 2020-03-03 |
| 1336796119 | Northwest Orthopaedic Specialists, P.s. | Orthopaedic Surgery | 212 E Central Ave Ste 140, Spokane, WA 99208-6289 | 2019-08-26 |
| Find all providers in SPOKANE | ||||
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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.