DR. ADAM JOSEPH WALLACE (NPI# 1518129733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518129733 |
| Entity Type | Individual |
| Full Name | DR. ADAM JOSEPH WALLACE |
| Credential | M.D. |
| Practice Address |
3336 E 32nd St Ste 220 Tulsa OK 74135-4442 |
| Mailing Address |
6802 S Olympia Ave Suite 100 Tulsa OK 74132-1823 |
| Practice Telephone | 9182557246 |
| Practice Fax Number | 9182557000 |
| Mailing Telephone | 9184479300 |
| Mailing Fax Number | 9184479308 |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
26497 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200222690A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6802 S Olympia Ave, Suite 100, Tulsa, OK 741321823 | 9184479300 | 9184479308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801117585 | Adam N Wallace | Radiology | 2301 N Lake Dr Ste 1104, Milwaukee, WI 53211-4508 | 2010-06-17 |
| 1700317898 | Adam Wallace | Student in an Organized Health Care Education/Training Program | 513 Parnassus Ave, S-321, San Francisco, CA 94143-2205 | 2017-03-21 |
| 1235450297 | Adam K Wallace | Nurse Anesthetist, Certified Registered | 616 19th St, Columbus, GA 31901-1528 | 2010-06-14 |
| 1386969079 | Adam Donald Wallace | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905 | 2010-04-06 |
| Street Address |
3336 E 32ND ST STE 220 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-4442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689144602 | The Spine and Pain Center LLC | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2018-12-03 |
| 1972876191 | Kala Marie Gaydos | Nurse Practitioner | 3336 E 32nd St Ste 220, Tulsa, OK 74135 | 2012-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
| 1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
| 1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
| 1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
| 1528061603 | Clinton Scott Anthony | Anesthesiology | 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 | 2005-05-23 |
| 1902809080 | Andreas Frank Revelis | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| 1043835309 | Seva Pain and Wellness | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2020-06-12 |
| 1689144602 | The Spine and Pain Center LLC | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2018-12-03 |
| 1639575160 | Uber Group Pllc | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-11-11 |
| 1437569639 | Ahmad Khattab | Anesthesiology | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2014-04-28 |
| Find all providers in TULSA | ||||
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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.