DR. STEPHEN EDWARD WALLACE


Address: 6525 So. 100th Street, Omaha, NE 68127
Phone: 4023398912

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 9269 NE Allopathic & Osteopathic Physicians

Other Providers STEPHEN WALLACE

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

Office Location

Street Address 6525 SO. 100TH STREET
City OMAHA
State NE
Zip Code 68127

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City OMAHA
Zip Code 68127

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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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