PATRICK J WALLACE (NPI# 1598825002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598825002 |
| Entity Type | Individual |
| Full Name | PATRICK J WALLACE |
| Credential | PA-C |
| Practice Address |
320 E North Ave Fl 6 Pittsburgh PA 15212-4756 |
| Practice Telephone | 4123596110 |
| Practice Fax Number | 4123598339 |
| Mailing Telephone | 4123596110 |
| Mailing Fax Number | 4123598339 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA052821 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103197780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376184408 | Patrick Wallace | Counselor | 4104 Delta St, San Diego, CA 92113-4113 | 2019-09-30 |
| 1285131474 | Patrick Wallace | Student in an Organized Health Care Education/Training Program | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2018-04-12 |
| 1477846020 | Patrick Albert Wallace II | Technician, Other | 4801 Reading St, Dallas, TX 75247-6716 | 2011-05-16 |
| 1427294875 | Patrick Wallace | Physical Therapist | 2027 Pulaski Hwy, Havre De Grace, MD 21078-2143 | 2009-01-06 |
| 1740219369 | Patrick Joseph Wallace | Surgery | 1315 St Joseph Pkwy, Suite 1800, Houston, TX 77002-8233 | 2006-07-03 |
| 1508857053 | Patrick L Wallace | Dentist | 1119 Walnut Dr, Suite 2, Ardmore, OK 73401-2360 | 2005-11-03 |
| Street Address |
320 E NORTH AVE FL 6 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15212-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645307 | Hae-dong Jho | Neurological Surgery | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2005-08-02 |
| 1053967950 | Kathleen M Janosco | Nurse Practitioner | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2019-08-15 |
| 1720520547 | Ian Saxer | Physician Assistant | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2016-11-10 |
| 1013251040 | Phillip M Glamuzina | Physician Assistant | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2012-11-15 |
| 1932451390 | Morgan A Hicks | Physician Assistant | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2012-10-10 |
| 1538305826 | Jody Leonardo | Neurological Surgery | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2008-12-17 |
| 1982725321 | David H Jho | Neurological Surgery | 320 E North Ave Fl 6, Pittsburgh, PA 15212-4756 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182347 | Kimberly Marie Pacy | Pharmacist | 623-625 East Ohio Street, Pittsburgh, PA 15212 | 2020-10-23 |
| 1649884990 | Genafie Mcknight | Social Worker | 322 North Shore Drive North Shore, Building 1b Suite 200, Pittsburgh, PA 15212 | 2020-09-03 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1639705742 | Regi Jithesh | Nurse Practitioner | 314 E. North Avenue, Level One, Pittsburgh, PA 15212 | 2020-03-20 |
| 1598309262 | Anna Michaela Carter | Music Therapist | 322 North Shore Drive, Building 1b, Suite 200, Office 203, Pittsburgh, PA 15212 | 2019-11-05 |
| 1477196194 | Home Recovery Care, LLC | Case Management | 320 E. North Avenue, Cancer Institute Rm 203, Pittsburgh, PA 15212 | 2019-10-25 |
| 1558842997 | Maggie Yuhas | Occupational Therapist | 1411 Porterfield St, Pittsburgh, PA 15212 | 2018-08-23 |
| 1518464932 | Chloe Williams | Student in an Organized Health Care Education/Training Program | Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 | 2018-04-11 |
| 1598261729 | Martha Conley Harrison | Student in an Organized Health Care Education/Training Program | West Penn Hospital, 4800 Friendship Ave, Pittsburgh, PA 15212 | 2018-04-05 |
| 1487155271 | Northside Dental | Dentist | 814 Cedar Avenue, Pittsburgh, PA 15212 | 2018-02-27 |
| Find all providers in zip 15212 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1003427816 | Ulysses Samuel Ator | Physician Assistant | 1031 Towervue Dr, Pittsburgh, PA 15227-3927 | 2020-08-14 |
| 1497364962 | Lauren Renee Schoeppner | Physician Assistant | 531 Harmony Rd, Pittsburgh, PA 15237-1135 | 2020-07-30 |
| 1740802669 | Heather Kristen Mclaughlin | Physician Assistant | 6015 Spirit St Apt 216, Pittsburgh, PA 15206-3179 | 2020-05-13 |
| 1346869005 | Gina Marie Nerone | Physician Assistant | Upp Emergency Medicine, 3400 Forbes @ Meyran, Ste 10040, Pittsburgh, PA 15213 | 2020-04-13 |
| 1881237956 | Isaac Beckler | Physician Assistant | 6721 Thomas Blvd Apt 22, Pittsburgh, PA 15208-2353 | 2019-10-22 |
| 1871135137 | Rachel Kosciusko | Physician Assistant | 5725 Forward Ave Fl 4, Pittsburgh, PA 15217-2255 | 2019-10-08 |
| 1073154456 | Christina Damico | Physician Assistant | 309 Smithfield St Ste 200, Pittsburgh, PA 15222-2229 | 2019-10-07 |
| 1134760093 | Taylor Schwarzberger | Physician Assistant | 4100 Alequippa St, Pittsburgh, PA 15213 | 2019-10-02 |
| 1841847449 | Ashley Lauren Neiswender | Physician Assistant | 200 Lothrop St Ste C900, Pittsburgh, PA 15213-2536 | 2019-08-20 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15212 |
Please comment or provide details below to improve the information on PATRICK J WALLACE.
| 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.