DEBORAH WALLACE (NPI# 1548665037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548665037 |
| Entity Type | Individual |
| Full Name | DEBORAH WALLACE |
| Practice Address |
1115 13th St Se Canton OH 44707-3425 |
| Practice Telephone | 3308097073 |
| Mailing Telephone | 3308097073 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821333113 | Deborah Elaine Wallace | Physical Therapy Assistant | 5147 Spring St, Sylvania, OH 43560-2832 | 2012-11-28 |
| 1124195359 | Deborah S Wallace | Dentist | 445 Highway 79, Dover, TN 37058-6941 | 2006-11-30 |
| 1194251173 | Deborah Wallace | Counselor | 801 Empire St, Fairfield, CA 94533 | 2017-05-11 |
| 1215387832 | Deborah Wallace | Nurse Practitioner | 4 Ryan Rd, Marlboro, NJ 07746-2445 | 2016-06-14 |
| 1235526633 | Deborah Wallace | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-04-23 |
| 1083859730 | Deborah Elaine Wallace | Nurse Practitioner | 3601 Tvc, Nashville, TN 37232-0001 | 2008-12-10 |
| 1295950244 | Deborah A. Wallace | Occupational Therapist | 710 S Paulina St, Chicago, IL 60612-3808 | 2007-04-16 |
| 1184654709 | Deborah I Wallace | Pediatrics | 3840 Ruckriegel Pkwy, Suite 105, Louisville, KY 40299-6835 | 2006-07-03 |
| 1184667388 | Deborah A Wallace | Nurse Anesthetist, Certified Registered | 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | 2006-06-14 |
| Street Address |
1115 13TH ST SE |
| City | CANTON |
| State | OH |
| Zip Code | 44707-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649781717 | Linda Wilt | Licensed Practical Nurse | 620market Ave. S., Canton, OH 44707 | 2017-10-17 |
| 1558872622 | Michele Rose Strongoli-scott | Registered Nurse | 1620 Market Ave S., Canton, OH 44707 | 2017-10-17 |
| 1366972234 | Terri Sue Clendenin | Home Health Aide | 1317 Mattie St Sw, Canton, OH 44707 | 2017-06-14 |
| 1215467311 | Draya K Ellis | Community Health Worker | 408 9th Street Sw, Canton, OH 44707 | 2017-06-13 |
| 1720537780 | Individual | Preferred Provider Organization | 1111 Gonder Avenue Se, Canton, OH 44707 | 2016-09-30 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1184070526 | Mj Harvey Development, LLC | Day Training, Developmentally Disabled Services | 804 Marion Ave Sw, Canton, OH 44707 | 2016-05-04 |
| 1164898516 | Erica Marie Brown | Occupational Therapy Assistant | 1620 Market Ave., South, Canton, OH 44707 | 2015-08-19 |
| 1508256439 | Kenny Mcclelland | Military/U.S. Coast Guard Transport | 903 Alan Page Dr Se # Apt1, Canton, OH 44707 | 2015-01-30 |
| 1295143550 | Susan Elaine Ball | Technician | 908 6th St Sw, Canton, OH 44707 | 2014-07-30 |
| Find all providers in zip 44707 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272833 | Michael Onwuegbuna | Contractor | 4057 Radcliff Dr, Canton, MI 48188-7236 | 2020-10-10 |
| 1417585167 | Christopher Lee | Contractor | 1214 13th St Nw, Canton, OH 44703-1411 | 2020-03-30 |
| 1912414475 | Kenn Schmitz | Contractor | 42045 Michigan Ave, Canton, MI 48188-2631 | 2018-01-05 |
| 1568912319 | Margaret Vos | Contractor | 149 Newfound St, Canton, NC 28716-4039 | 2016-10-05 |
| 1982068706 | Royal Missions LLC. | Contractor | 1662 Orchard Dr, Canton, MI 48188-1547 | 2016-04-07 |
| 1053781815 | Jonathan Brown | Contractor | 907 Tuscarawas St E, Canton, OH 44707-3152 | 2015-10-05 |
| 1265821862 | Solomon Ikekhhua | Contractor | 50 Winooki Dr, Canton, GA 30114-3569 | 2015-01-20 |
| 1164834446 | Cheryl Dodge | Contractor | 4951 S Haggerty Rd Lot 22, Canton, MI 48188-2800 | 2014-05-21 |
| 1093071425 | Amanda Rainelli | Contractor | 1609 Spangler Rd Ne, Canton, OH 44714-1656 | 2012-04-10 |
| 1497958920 | Aleta S Ashlock | Contractor | 401 S Second, Canton, KS 67428-0223 | 2007-06-11 |
| Find all providers in CANTON | ||||
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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.