DR. HOWARD S WALLACE (NPI# 1437478468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437478468 |
| Entity Type | Individual |
| Full Name | DR. HOWARD S WALLACE |
| Credential | M.D. |
| Practice Address |
37450 Dequindre Rd Sterling Heights MI 48310-3503 |
| Practice Telephone | 5869795100 |
| Practice Fax Number | 5869796198 |
| Mailing Telephone | 5869795100 |
| Mailing Fax Number | 5869796198 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2011-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301038416 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 4301038416 | 01 |
| Street Address |
37450 DEQUINDRE RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386634749 | Jeffrey S Deitch | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2005-10-26 |
| 1407184690 | Jodie Wood | Physician Assistant | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2009-11-27 |
| 1932354743 | Jenna Babcock | Nurse Practitioner | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2008-11-20 |
| 1114170685 | Donna Jean Gilliam | Registered Nurse | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2008-10-28 |
| 1508999285 | Marta Elaine Ross | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2007-03-13 |
| 1073697199 | Lana Kawa | Internal Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2006-10-25 |
| 1639264344 | Tri-county Medical Clinic, P.C. | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2006-10-04 |
| 1184665713 | Stuart Ronald Stoller | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2006-06-08 |
| 1740268523 | Quang T Le | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2006-01-03 |
| 1194715557 | Kenneth J Wolok | Family Medicine | 37450 Dequindre Rd, Sterling Heights, MI 48310-3503 | 2005-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623319 | Angela Beatriz Valera Cruz | Internal Medicine | 2617 Tavistock Ct, Sterling Heights, MI 48310-7115 | 2019-01-25 |
| 1669919361 | Mazen Alsaqa Md Pllc | Internal Medicine | 1988 Long Meadow Dr, Sterling Heights, MI 48314-3783 | 2017-01-20 |
| 1558742700 | Gurbir Singh Md Pllc | Internal Medicine | 2084 Sprucewood Dr, Sterling Heights, MI 48310-5865 | 2015-06-13 |
| 1467616904 | Raad Razouki Al-khouri | Internal Medicine | 2107 E 14 Mile Rd Ste 130, Sterling Heights, MI 48310-5970 | 2008-07-14 |
| 1255520300 | Raja Lewis Md PC | Internal Medicine | 33164 Ryan Rd, Sterling Heights, MI 48310-6478 | 2007-10-15 |
| 1538361530 | Saqib R Nakadar | Internal Medicine | 37300 Dequindre Rd Ste 102, Sterling Heights, MI 48310-3595 | 2007-06-01 |
| 1356569644 | Lalitha Koneru | Internal Medicine | 8244 Metro Pkwy Ste C, Sterling Heights, MI 48312-2778 | 2007-04-23 |
| 1801012323 | Enas Nakkash, Md PC | Internal Medicine | 35200 Dequindre Rd, Sterling Heights, MI 48310-4837 | 2007-04-17 |
| 1386716280 | Mada H Jamil | Internal Medicine | 6055 19 Mile Rd, Sterling Heights, MI 48314-2105 | 2006-11-15 |
| 1073613808 | Mustafa Huseini | Internal Medicine | 4798 Fox Hill Dr, Sterling Heights, MI 48310-3374 | 2006-09-22 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
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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.