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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | C0005406 | MD | Allopathic & Osteopathic Physicians |
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 |
Street Address |
5530 WISCONSIN AVE 820 |
City | CHEVY CHASE |
State | MD |
Zip Code | 20815-4404 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 20815 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
Find all providers in CHEVY CHASE |
City | CHEVY CHASE |
Zip Code | 20815 |
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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.