BENJAMIN WALLACE (NPI# 1467883108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467883108 |
| Entity Type | Individual |
| Full Name | BENJAMIN WALLACE |
| Credential | DO |
| Practice Address |
376 W 10th Ave 776 Prior Hall Columbus OH 43210-1280 |
| Practice Telephone | 6142933551 |
| Mailing Telephone | 6142933551 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 125.062220 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962913293 | Benjamin Levi Wallace | Nurse Practitioner | 264 Fm 3478 Rd, Huntsville, TX 77320-3322 | 2017-10-13 |
| 1033647516 | Benjamin Wallace | Dentist | 517 N Stone Rd, Fremont, MI 49412-9620 | 2017-05-30 |
| 1992936066 | Benjamin P Wallace | Physician Assistant | 3600 Nw Samaritan Drive, Suite 227, Corvallis, OR 97330-3737 | 2009-08-06 |
| Street Address |
376 W 10TH AVE 776 PRIOR HALL |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578783536 | Mark P Foran | Emergency Medicine | 376 W 10th Ave, 760 Prior Hall, Columbus, OH 43210-1280 | 2007-05-01 |
| 1497377550 | Langston Hughes | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-12 |
| 1922629583 | Daniel Wagner | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-05 |
| 1841811650 | Elise Grzeskiewicz | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-04 |
| 1215558044 | Christian Curatolo | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-04 |
| 1316568215 | Hayden Denver Wolford | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-01 |
| 1174144158 | Andrew James Garrone | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-01 |
| 1124649017 | Nikolas Sarac | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-01 |
| 1225659188 | Abshaar Faozan Narvel | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-01 |
| 1053940312 | Leon Lin | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1265895262 | Andrew Vang | Emergency Medicine | 4503 Glenhaven Dr, Columbus, OH 43231-5987 | 2016-03-29 |
| 1982065777 | Jack D Sherrer Jr. | Emergency Medicine | 7301 Northlake Drive, Columbus, GA 31909 | 2016-03-08 |
| 1477935393 | Chloe Sidley | Emergency Medicine | 376 W 10th Ave., 760 Prior Hall, Columbus, OH 43210 | 2015-06-27 |
| 1871975755 | Jennifer Cotton | Emergency Medicine | W 10th Ave, 760 Prior Hall, Columbus, OH 43214 | 2015-06-26 |
| 1831584606 | Chase Foy | Emergency Medicine | 376 W. 10th Ave, 774 Prior Hall, Columbus, OH 43210-1280 | 2015-03-30 |
| 1215342506 | George Edward Ashby | Emergency Medicine | 760 Prior Hall 376 W 10th Ave, Columbus, OH 43210-1240 | 2014-06-25 |
| 1376953463 | Matthew Pitzer | Emergency Medicine | 3525 Olentangy River Rd Ste 5320, Columbus, OH 43214 | 2014-04-29 |
| 1275950651 | Julia Elisabeth Ojcius | Emergency Medicine | 1447 Highland St Apt A, Columbus, OH 43201-2741 | 2014-03-24 |
| Find all providers in COLUMBUS | ||||
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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.