DR. STEPHEN EDWARD WALLACE (NPI# 1457713778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457713778 |
Entity Type | Individual |
Full Name | DR. STEPHEN EDWARD WALLACE |
Credential | M.D. |
Practice Address |
6525 So. 100th Street Omaha NE 68127 |
Practice Telephone | 4023398912 |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-03-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 9269 | NE | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194220061 | Stephen Wallace | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Upmc Presbyterian, South Tower 2nd Floor, Suite 200, Pittsburgh, PA 15213 | 2018-03-24 |
1205020286 | Stephen Leon Wallace | Dentist | 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043-8846 | 2007-08-31 |
1831304062 | Stephen Wylie Wallace | Dentist | 430 E. Lamar Blvd., Suite C, Arlington, TX 76011-3600 | 2007-05-11 |
1780781831 | Stephen Anthony Wallace | Dentist | 310 W Burlington Ave, La Grange, IL 60525-2363 | 2006-09-20 |
1437264330 | Stephen R. Wallace | Social Worker | 74 Dana St, Providence, RI 02906-2620 | 2006-08-20 |
1336131044 | Stephen A Wallace | Anesthesiology | 2741 S 8th Ave, Suite C, Yuma, AZ 85364-7154 | 2005-08-18 |
1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
1427668102 | Stephen Wallace | Behavior Technician | 403 N 4th St, Leavenworth, KS 66048-1966 | 2020-08-06 |
1053849802 | Stephen Paden Wallace | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2017-05-24 |
1205222502 | Stephen Blake Wallace | Orthopaedic Surgery | 3055 Roslyn St Unit 200, Denver, CO 80238-3324 | 2015-04-13 |
Street Address |
6525 SO. 100TH STREET |
City | OMAHA |
State | NE |
Zip Code | 68127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891263604 | Lisa Ann Reyes | Massage Therapist | 7561 Main Street #402, Ralston, NE 68127 | 2018-11-09 |
1942709910 | Cardiac Cin of Omaha LLC | Internal Medicine | 4611 S 96th St Ste 254, Omaha, NE 68127 | 2018-02-06 |
1821510207 | Matthew Alan Olson | Pharmacist | 4828 South 91st Avenue Circle, Omaha, NE 68127 | 2017-07-07 |
1235663493 | Latifat Adekunle | Registered Nurse | 10011 J Street, Omaha, NE 68127 | 2017-04-14 |
1801341987 | Janelle Hill | Nurse Practitioner | 4610 S. 133rd Street Suite 109, Omaha, NE 68127 | 2016-08-18 |
1669872537 | Christopher Charles Ihle | Counselor | 6550 S 84th St Ste 300, Omaha, NE 68127 | 2014-08-28 |
1831539048 | Airflow LLC | Durable Medical Equipment & Medical Supplies | 6221 S 90th St, Omaha, NE 68127 | 2013-07-02 |
1801130323 | Lilian Curtis | Social Worker | 4611 S 96th St Ste 225, Omaha, NE 68127 | 2012-11-21 |
1841546926 | Fidelity Home Health Care LLC | Home Health | 6650 S 84th Ave Ste 100a, Omaha, NE 68127 | 2012-07-26 |
1790056125 | Amber R Paden | Counselor | 9012 Q St, Omaha, NE 68127 | 2012-01-17 |
Find all providers in zip 68127 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
1659938777 | Hannah Luksa | Family Medicine | 983075 Nebraska Medical Center Omaha Ne 68198-3075, Omaha, NE 68198-3075 | 2019-05-23 |
1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
1710458237 | Quality Living Inc | Family Medicine | 6320 N 70th Plz, Omaha, NE 68104-1072 | 2018-12-10 |
1851871735 | Cornerstone Nonprofit Healthcare | Family Medicine | 1313 N 48th Ave, Omaha, NE 68132-1612 | 2018-08-20 |
1306368691 | Mitchell Kohl | Family Medicine | 16104 Sprague St, Omaha, NE 68116-2895 | 2017-07-09 |
Find all providers in OMAHA |
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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.