SCOTT CHRISTOPHER WALLACE (NPI# 1558381822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558381822 |
| Entity Type | Individual |
| Full Name | SCOTT CHRISTOPHER WALLACE |
| Credential | MD |
| Practice Address |
Po Box 112 Muncie IN 47308-0112 |
| Mailing Address |
8253 E County Dr El Cajon CA 92021-8825 |
| Practice Telephone | 6195328943 |
| Mailing Telephone | 6193067812 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A115766 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275809899 | Scott Andrew Wallace | Student in an Organized Health Care Education/Training Program | Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-03-28 |
| 1184996399 | Scott D Wallace | Social Worker | 63 Glenwood St, Lowell, MA 01852-3007 | 2012-02-02 |
| 1629139563 | Scott Matthew Wallace | Chiropractor | 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 | 2006-12-13 |
| 1770655342 | Scott G Wallace | Chiropractor | 2515 Crosby Ave, Klamath Falls, OR 97603-4553 | 2006-11-15 |
| 1831611839 | Scott Christopher Wallace | Nurse Practitioner | 1900 S Main St, Findlay, OH 45840-1214 | 2017-07-11 |
| 1104359975 | Scott Robert Wallace | Psychiatry & Neurology | 103 N Loop 499, Harlingen, TX 78550-2557 | 2017-04-07 |
| 1922441880 | Scott Michael Wallace | Pediatrics | 75 Pringle Way, Ste 300, Reno, NV 89502-1464 | 2013-04-10 |
| 1134414220 | Scott Eric Wallace | Pharmacist | 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 | 2011-06-16 |
| 1568755114 | Scott Wallace | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| 1265613855 | Scott Arthur Wallace | Physician Assistant | 3643 N Roxboro St, Durham Regional Hospital Emergency Department, Durham, NC 27704-2702 | 2007-11-25 |
| Street Address |
PO BOX 112 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47308-0112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042848 | No Place Like Home LLC | In Home Supportive Care | 1208 W White River Blvd Ste 139, Muncie, IN 47303-8004 | 2020-10-26 |
| 1871192716 | Indiana Foot and Ankle Specialist LLC | Podiatrist | 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 | 2020-10-21 |
| 1629684378 | Jilliann Lea Short | Pharmacist | 201 S Tillotson Ave, Muncie, IN 47304-4356 | 2020-09-18 |
| 1780298596 | Pathways of Care LLP | Home Health Aide | 614 E Streeter Ave Ste 3, Muncie, IN 47303-1919 | 2020-08-31 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1497378483 | Jenna Barber | Specialist/Technologist | 8208 W Ashford Ln, Muncie, IN 47304-9500 | 2020-05-25 |
| 1922620459 | Latosha Wilson | Contractor | 3209 W Riggin Rd, Muncie, IN 47304-1032 | 2020-05-06 |
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1316573413 | Meridian Health Services Corp. | Clinic/Center | 1601 E 26th St # 6, Muncie, IN 47302-5808 | 2020-03-20 |
| 1124653803 | Catherine Baugher | Urology | 2525 W University Ave Ste 504, Muncie, IN 47303-3409 | 2020-03-03 |
| Find all providers in MUNCIE | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053553792 | Ruth Ellen Maxson | Anesthesiology | 8557 Olde Mill Trce, Indianapolis, IN 46260-5304 | 2009-03-26 |
| 1265660468 | Kunal Patel | Anesthesiology | 1120 South Dr, Fesler Hall 204, Indianapolis, IN 46202-5135 | 2009-06-25 |
| 1366640823 | Nicole Daniyel Horn | Anesthesiology | 1120 South Dr, Fesler Hall Room 204, Indianapolis, IN 46202-5135 | 2007-07-06 |
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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.