MRS. CYNTHIA CATHERINE WALLACE


Address: 5530 Wisconsin Ave, 820, Chevy Chase, MD 20815-4404
Phone: 3016528081

MRS. CYNTHIA CATHERINE WALLACE (NPI# 1730596875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730596875
Entity Type Individual
Full Name MRS. CYNTHIA CATHERINE WALLACE
Credential P.A.
Practice Address 5530 Wisconsin Ave
820
Chevy Chase
MD 20815-4404
Mailing Address 5105 Brookeway Dr
Bethesda
MD 20816-1905
Practice Telephone 3016528081
Mailing Telephone 9545319433
Enumeration Date 2014-07-21
Last Update Date 2014-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology C0005406 MD Allopathic & Osteopathic Physicians

Other Providers CYNTHIA WALLACE

NPI Name Taxonomy Address Enumeration
1427677848 Cynthia Wallace Home Health Aide 4513 Minaret Way, North Las Vegas, NV 89031-4319 2020-04-15
1215290051 Cynthia Wallace Home Health Aide 3538 Stanton Rd Se, Washington, DC 20020-2288 2012-06-18
1093075913 Cynthia Wallace Social Worker 19 E Birch St Ste 103, Walla Walla, WA 99362-3084 2012-05-24
1841509569 Cynthia Jane Wallace Registered Nurse 310 Eastwood Ave, Delaware, OH 43015-1004 2010-09-29
1740241835 Cynthia Calbert Wallace Obstetrics & Gynecology 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 2006-03-29
1386615540 Cynthia L Wallace Family Medicine 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076-1356 2006-01-27
1528573524 Cynthia Wallace Counselor 914 Baumann Dr, Grand Island, NE 68803-4401 2017-12-12
1619487410 Cynthia Marie Wallace Counselor 5648 Friendship Ave, Pittsburgh, PA 15206-3610 2017-10-05
1942608088 Cynthia Wallace Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2014-12-05
1811393648 Cynthia Wallace Nurse Practitioner 1111 Crater Lake Ave, Medford, OR 97504-6241 2014-11-05

Office Location

Street Address 5530 WISCONSIN AVE
820
City CHEVY CHASE
State MD
Zip Code 20815-4404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051424 Madjid Matin Dentist 5530 Wisconsin Ave, Ste 1110, Chevy Chase, MD 20815-4330 2005-05-23
1508328378 Bryn Marie Bonner Physical Therapist 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 2019-04-02
1578090791 Eileen Patricia Goohs Counselor 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 2017-05-18
1427595107 Anthony Alexander Gipe Physical Therapist 5530 Wisconsin Ave, Suite #1650, Chevy Chase, MD 20815-4404 2017-01-19
1528411253 Scott D. Shapiro M.d., Ph.d., LLC Internal Medicine 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 2016-07-18
1669826517 Cortney Elizabeth Tanner Physician Assistant 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 2016-04-18
1386007565 Elizabeth A Holcombe Advanced Practice Midwife 5530 Wisconsin Ave, Suite 1200, Chevy Chase, MD 20815-4404 2016-04-04
1083088355 Miranda Stauffer Physical Therapy Assistant 5530 Wisconsin Ave, 1650, Chevy Chase, MD 20815-4404 2015-11-24
1063886042 Emily Duke Wishik Speech-Language Pathologist 5530 Wisconsin Ave, Suite 1135, Chevy Chase, MD 20815-4404 2015-11-13
1285002469 Mgmc, LLC General Practice 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 2015-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306456454 Sarah Trandel-korenchuk Nurse Practitioner 4622 Norwood Drive, Chevy Chase, MD 20815 2020-08-04
1730709254 Lorelyn Pierola Physical Therapist 8700 Jones Mill Road, Chevy Chase, MD 20815 2020-04-24
1194292391 Bradley T Nguyen Student in an Organized Health Care Education/Training Program 5454 Wisconsic Ave, Bethesda, MD 20815 2018-10-26
1053897652 Seth Parker Worthing Orthopaedic Surgery 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 2018-07-17
1104310382 Brendan F. Burke, M.d., L.L.C. Obstetrics & Gynecology 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 2018-06-20
1740778240 Miriam Brazer Student in an Organized Health Care Education/Training Program 4810 Bradley Blvd, Chevy Chase, MD 20815 2018-04-30
1285131201 Juventino Aceves Speech-Language Pathologist 5530 Wisconsin, Chevy Chase, MD 20815 2018-04-06
1386167351 Seth A. Greenblatt Social Worker 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 2017-07-21
1932636990 Katelyn Marie Engbert Registered Nurse 4717 Morgan Dr, Chevy Chase, MD 20815 2017-05-20
1043752512 Erin Leeland Nes Marriage & Family Therapist 4405 East West Highway Suite 408, Bethesda, MD 20815 2016-11-15
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356500011 Hyland Elizabeth Cronin Dermatology 5530 Wisconsin Ave Ste 1418, Chevy Chase, MD 20815-4302 2008-06-06
1558537720 Samantha Adrienne Toerge Dermatology 5454 Wisconsin Ave Ste 1400, Chevy Chase, MD 20815-6931 2008-05-07
1407035165 Chevy Chase Dermatology, LLC Dermatology 5530 Wisconsin Ave Ste 830, Chevy Chase, MD 20815-4461 2007-10-30
1316142227 Mana Ogholikhan Dermatology 8401 Connecticut Ave Ste 210, Chevy Chase, MD 20815-5837 2007-06-19
1285796730 Vesna Petronic-rosic Dermatology 5530 Wisconsin Ave Ste 730, Chevy Chase, MD 20815 2006-12-14
1588619878 Rebecca Appel Kazin Dermatology 5550 Friendship Blvd Suite 110, Chevy Chase, MD 20815 2006-05-24
1316935521 Ali Hendi Dermatology 5454 Wisconsin Ave Ste 725, Chevy Chase, MD 20815-6947 2005-10-11
1043859630 Bev Fontaine LLC Dermatology 5550 Friendship Blvd Ste 360, Chevy Chase, MD 20815-7256 2019-12-30
1639669575 Beverli Fontaine-rasaiah Dermatology 5550 Friendship Blvd Ste 360, Chevy Chase, MD 20815-7256 2018-05-16
1861921280 Emily Lina Guo Dermatology 5530 Wisconsin Ave Ste 730, Chevy Chase, MD 20815-4447 2017-06-08
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Competitor

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City CHEVY CHASE
Zip Code 20815

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Dataset Information

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.

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