WALLACE MASON COMBS II


Address: 61 Memorial Medical Parkway, Suite 3811, Palm Coast, FL 32164
Phone: 3865866611

WALLACE MASON COMBS II (NPI# 1437257532) 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) 1437257532
Entity Type Individual
Full Name WALLACE MASON COMBS II
Credential MD
Practice Address 61 Memorial Medical Parkway
Suite 3811
Palm Coast
FL 32164
Mailing Address 120 Pinnacles Dr Ste 1
Palm Coast
FL 32164-2322
Practice Telephone 3865866611
Practice Fax Number 3865866633
Mailing Telephone 3865866611
Mailing Fax Number 3865866633
Enumeration Date 2006-09-20
Last Update Date 2020-01-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
ME55590 FL Allopathic & Osteopathic Physicians

Other Providers WALLACE COMBS

NPI Name Taxonomy Address Enumeration
1376748269 Wallace E. Combs Psychiatry & Neurology 5325 Woodhaven Ln, Lakeland, FL 33813-2657 2007-06-19

Office Location

Street Address 61 MEMORIAL MEDICAL PARKWAY
SUITE 3811
City PALM COAST
State FL
Zip Code 32164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427082486 Kizhake C Kurian Internal Medicine 61 Memorial Medical Parkway, 3808, Palm Coast, FL 32164 2006-07-10
1447440243 Richard V. Cashio Jr. Plastic Surgery 61 Memorial Medical Parkway, Suite 2802, Palm Coast, FL 32164 2007-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417561044 Ereka Manangan Pharmacist 5000 E, Fl-100, Palm Coast, FL 32164 2020-09-01
1427661735 George Allen Parker Pharmacist 5000 E Hwy 100, Palm Coast, FL 32164 2020-08-26
1891318424 Faithangel Corp In Home Supportive Care 125 Pine Grove Dr, Palm Coast, FL 32164 2020-05-18
1578101481 Sweetie Peetie LLC Hearing Instrument Specialist 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 2019-12-11
1831656610 Dolphin Medical Transport LLC Taxi 30 Westmoreland Dr, Palm Coast, FL 32164 2019-02-27
1003389024 Southeast Snoring & Sleep Apnea Group Durable Medical Equipment & Medical Supplies 108 Pennacles Dr. #101, Palm Coast, FL 32164 2019-01-03
1801388137 Lily Michelle King Licensed Practical Nurse 8 Regent Ln, Palm Coast, FL 32164 2018-06-01
1558880120 Bryan Mendes Physical Therapist 1 Westrock Ln, Palm Coast, FL 32164 2017-09-14
1477077451 Sharon Denise Astrologo Case Manager/Care Coordinator 421 S. Keech St., Daytona Beach, FL 32164 2017-08-01
1952825283 Emily Guarino Behavior Technician 136a Wellwood Lane, Palm Coast, FL 32164 2017-07-28
Find all providers in zip 32164

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053400994 Joseph Matthew Mckinley Internal Medicine 61 Memorial Medical Pkwy Ste 1-800b, Palm Coast, FL 32164-5983 2006-10-11
1316970205 Safwan Shams Internal Medicine 61 Memorial Medical Pkwy, Suite 1-800a, Palm Coast, FL 32164-5981 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093321382 Charlotte Harbor Gastroenterology LLC Internal Medicine 2811 Tamiami Trl Ste I, Port Charlotte, FL 33952-5135 2020-09-22
1750907614 Michael G. Valladares D.o. P.a. Internal Medicine 10302 Sw 116th St, Miami, FL 33176-4049 2020-06-17
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1750922399 Gastroenterology Care Specialists, LLC Internal Medicine 550 Redstone Ave W Ste 430, Crestview, FL 32536-6457 2019-10-04
1194375378 Digestive and Liver Disease Institute of Florida, LLC Internal Medicine 505 W Oak St Ste 202, Kissimmee, FL 34741-4986 2019-09-18
1659833002 Steven L Diamond Internal Medicine 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 2019-04-04
1225507601 Linmec Corp Internal Medicine 4531 Deleon St Ste 215, Fort Myers, FL 33907-1279 2018-11-15
1912474156 Eileen E Kim Internal Medicine 5117 Fiorella Ln, Sanford, FL 32771-5449 2018-10-25
1790251197 Gabriel Benitez Internal Medicine 2330 Wilton Dr, Wilton Manors, FL 33305-1249 2018-10-23
1043786833 Union Medical Group Internal Medicine 6300 Corporate Ct Ste 105, Fort Myers, FL 33919-3513 2018-10-18
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Competitor

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City PALM COAST
Zip Code 32164

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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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