DR. DAVID STUART WALLACE (NPI# 1386868487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386868487 |
Entity Type | Individual |
Full Name | DR. DAVID STUART WALLACE |
Credential | D.C. |
Practice Address |
2330 Highway 94 South Outer Rd Saint Charles MO 63303-8301 |
Practice Telephone | 6364982346 |
Mailing Telephone | 6364982346 |
Enumeration Date | 2007-04-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 006811 | MO | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | CIGNA | 3391509 | 01 |
MO | BLUECROSS BLUESHIELD | 131625 | 01 |
MO | UNITED HEALTHCARE | 4400088 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700327061 | David Wallace | Student in an Organized Health Care Education/Training Program | 24606 Mosquero Ln, Mission Viejo, CA 92691-4913 | 2017-03-19 |
1265743595 | David R Wallace Jr. | Radiology | 200 W Arbor Dr # Mc0834, Department of Radiology, San Diego, CA 92102-0834 | 2010-07-01 |
1649343641 | David Michael Wallace | Chiropractor | 112 W Grand Ave, Rainbow City, AL 35906-3233 | 2006-11-16 |
1932193604 | David Wallace | Anesthesiology | 738 Golden Pheasant Dr, Draper, UT 84020-8454 | 2005-09-08 |
1386646206 | David Allen Wallace | Dentist | 206 S Walker St, Princeton, WV 24740-2747 | 2005-08-11 |
1295736809 | David B. Wallace | Radiology | 325 N Highland Ave, Provena Mercy Medical Center, Aurora, IL 60506-3811 | 2005-08-04 |
1679576276 | David Alan Wallace | Ophthalmology | 11600 Wilshire Blvd, Ste 200, Los Angeles, CA 90025-1782 | 2005-05-27 |
1619596335 | David Alexander Wallace | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-04-13 |
1396364402 | David Carter Wallace | Student in an Organized Health Care Education/Training Program | 620 Shadow Ln, Las Vegas, NV 89106-4119 | 2020-04-09 |
1720646672 | David Wallace | Physician Assistant | 1 Hospital Plz, Stamford, CT 06902-3602 | 2019-06-04 |
Street Address |
2330 HIGHWAY 94 SOUTH OUTER RD |
City | SAINT CHARLES |
State | MO |
Zip Code | 63303-8301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
Find all providers in zip 63303 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487212429 | Apex Chiropractic LLC | Chiropractor | 302 S Highland St, Saint Charles, IA 50240-1519 | 2019-06-04 |
1891158226 | Meagen Mateialona | Chiropractor | 115 S Saginaw St Ste 4, Saint Charles, MI 48655-1452 | 2016-04-02 |
1235590498 | Colleen Burmeister | Chiropractor | 2025 Zumbehl Rd # 165, Saint Charles, MO 63303-2723 | 2016-03-16 |
1407245814 | Chelsie Lee Arnold | Chiropractor | 20 Triad South Dr, Suite A, Saint Charles, MO 63304-3507 | 2015-01-22 |
1174949861 | Candice Mathis | Chiropractor | 2061 Collier Corporate Pkwy, Saint Charles, MO 63303-6701 | 2014-03-05 |
1700221769 | Cara Washburn | Chiropractor | 914 Hemsath Rd Ste 104a, Saint Charles, MO 63303-6582 | 2013-05-03 |
1336583962 | The Center for Natural Health, LLC | Chiropractor | 918 Hemsath Rd Ste 102b, Saint Charles, MO 63303-5949 | 2013-04-25 |
1720326358 | Amy Wicks | Chiropractor | 918 Hemsath Rd, Suite 102b, Saint Charles, MO 63303-5949 | 2013-01-16 |
1942547062 | Glenn R. Ezell | Chiropractor | 2201 1st Capitol Dr Ste 101, Saint Charles, MO 63301-5805 | 2013-01-09 |
1578819645 | Healthy Solutuions | Chiropractor | 5055 Highway N Ste 105, Saint Charles, MO 63304-8031 | 2012-07-26 |
Find all providers in SAINT CHARLES |
City | SAINT CHARLES |
Zip Code | 63303 |
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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.