JESSE WALLACE (NPI# 1568531416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568531416 |
| Entity Type | Individual |
| Full Name | JESSE WALLACE |
| Credential | M.D. |
| Practice Address |
1138 Waterfall Ln Lenoir NC 28645-8943 |
| Practice Telephone | 7021027922 |
| Mailing Telephone | 7021027922 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19466 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64194665 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005995 | Jesse Wallace | Case Manager/Care Coordinator | 21000 Plummer St, Chatsworth, CA 91311-4903 | 2018-08-29 |
| 1871794495 | Jesse Bryan Wallace | Chiropractor | 7410 Blanco Rd, Suite 400, San Antonio, TX 78216-4363 | 2007-05-30 |
| Street Address |
1138 WATERFALL LN |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-8943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039429 | University Health System, Inc | Internal Medicine | 5779 Creekwood Park Blvd, Suite 220, Lenoir, TN 37772 | 2006-07-05 |
| 1861484255 | Ronald H. Dubow | Internal Medicine | 2651 Morganton Blvd Sw, Lenoir, NC 28645-8183 | 2005-08-22 |
| 1023014339 | David Alan Lowry | Internal Medicine | 321 Mulberry Street, Sw, Lenoir, NC 28645 | 2005-06-22 |
| 1205298338 | Michael Joseph Rewis II | Internal Medicine | 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | 2016-03-28 |
| 1982014478 | Aaron Goodwin | Internal Medicine | 322 Mulberry St Sw Ste A, Lenoir, NC 28645-5703 | 2014-05-06 |
| 1710320122 | Ronald Andrew Noe | Internal Medicine | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2013-04-16 |
| 1871830679 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 322 Mulberry St Sw, Suite G, Lenoir, NC 28645-5702 | 2013-01-14 |
| 1386962918 | Jared Keith | Internal Medicine | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2010-05-06 |
| 1447499397 | George Andrew Metzger | Internal Medicine | 1345 Nc Highway 268, Lenoir, NC 28645-9027 | 2009-02-17 |
| 1417178591 | Ruihai Zhou | Internal Medicine | 322 Mulberry St Sw, Suite F, Lenoir, NC 28645-5702 | 2007-05-02 |
| Find all providers in LENOIR | ||||
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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.