DOUGLAS WALLACE


Address: 95 Post Office Park, Wilbraham, MA 01095-1248
Phone: 4135990430

DOUGLAS WALLACE (NPI# 1730794041) 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) 1730794041
Entity Type Individual
Full Name DOUGLAS WALLACE
Practice Address 95 Post Office Park
Wilbraham
MA 01095-1248
Mailing Address 128 Garland St
Springfield
MA 01118-2219
Practice Telephone 4135990430
Enumeration Date 2020-09-14
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 237700000X Hearing Instrument Specialist 494 MA Speech, Language and Hearing Service Providers

Other Providers DOUGLAS WALLACE

NPI Name Taxonomy Address Enumeration
1376698753 Douglas W. Wallace Oral & Maxillofacial Surgery 5188 Winton Rd, Fairfield, OH 45014-2900 2007-01-24
1063451144 Douglas C Wallace Family Medicine 3154 Park St, Grove City, OH 43123-3222 2006-06-05
1285098806 Douglas Wallace Emergency Medicine 625 19th St S, Birmingham, AL 35233 2016-04-09
1811181498 Douglas Cecil Wallace Medical Genetics, Ph.D. Medical Genetics 2014 Hewitt Hall, University of California Irvine, Irvine, CA 92697-3940 2007-08-28
1013058932 Douglas Mckay Wallace Psychiatry & Neurology 1201 Nw 16th St, Miami Va Medical Center, Dept of Neurology, Miami, FL 33125-1624 2007-02-12
1851470033 Douglas Charles Wallace Thoracic Surgery (Cardiothoracic Vascular Surgery) 3900 St Francis Way, Ste 201, Lafayette, IN 47905-4923 2006-11-06
1881657989 Douglas M Wallace Emergency Medicine 101 E Wood St, Spartanburg, SC 29303-3040 2006-04-10
1083608053 Douglas W Wallace Radiology 2300 Manchester Expy, Ste A001, Columbus, GA 31904-6802 2005-09-07

Office Location

Street Address 95 POST OFFICE PARK
City WILBRAHAM
State MA
Zip Code 01095-1248

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093904138 Wendi Woods Mulligan Occupational Therapist 95 Post Office Park, Wilbraham, MA 01095-1248 2007-10-15
1861721300 Valley Podiatry Associates PC Podiatrist 95 Post Office Park, Suite 9525, Wilbraham, MA 01095-1248 2009-12-11
1730327081 Helena Rosa Pereira Speech-Language Pathologist 95 Post Office Park, Wilbraham, MA 01095-1248 2009-01-24
1174760094 Small Measures LLC Clinic/Center 95 Post Office Park, Suite A, Wilbraham, MA 01095-1248 2009-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912436619 Amanda M Bryant Nurse Practitioner 70 Pst Office Park, Wilbraham, MA 01095 2017-06-06
1568867539 Michael Roy Physical Therapist 2301 Boston Rd, Wilbraham, MA 01095 2014-11-03
1588925440 Jeziel Miguel Gonzalez Physical Therapist 6 Colonial Rd, Wilbraham, MA 01095 2012-06-06
1306117783 Rosemary Wrona Physical Therapist 2 Lodge Ln, Wilbraham, MA 01095 2012-01-18
1356508584 Big Y Foods Inc Pharmacy 2035 Boston Rd, Wilbraham, MA 01095 2008-05-16
1235315854 Elizabeth L Rose Pediatrics Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 2008-01-14
1346315140 Mary Beth Laliberte Physician Assistant 2040 Boston Rd Ste 5, Wilbraham, MA 01095 2006-11-21
1003993668 Anita Chopra Dentist 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 2006-11-01
1558461525 Cynthia A Kennedy Nurse Practitioner 34 Sandalwood Dr, Wilbraham, MA 01095 2006-09-22
1063447357 Susan W James Social Worker 919 Main St., Wilbraham, MA 01095 2006-07-12
Find all providers in zip 01095

Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922636307 Jessica Christian Barry Hearing Instrument Specialist 2133 Boston Rd Ste 6a, Wilbraham, MA 01095-1269 2020-03-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346857042 Courtney Lauren Weigand Hearing Instrument Specialist 269 Winter St, Hyannis, MA 02601-2962 2020-09-26
1316574940 Michael Mastroianni Hearing Instrument Specialist 19 Westfield St, West Springfield, MA 01089-2505 2020-03-24
1033745179 Lisa Marie Mcnamara Hearing Instrument Specialist 354 Main St Ste 4, Gardner, MA 01440-3057 2020-03-20
1033743885 Vilma Haddad Hearing Instrument Specialist 84 Rt 6a, Orleans, MA 02653-2411 2020-03-02
1649814369 Mary A Taddie Hearing Instrument Specialist 152 Lynnway Ste 1a, Lynn, MA 01902-3420 2019-11-06
1447804505 Traci M D'agostino Hearing Instrument Specialist 683 James St, Chicopee, MA 01020-3913 2019-07-27
1093376790 A.h.h.h. Bristol, LLC Hearing Instrument Specialist 1528 Tremont St Ste 2a-2, Duxbury, MA 02332-3332 2019-06-24
1851859078 Michael Nogueira Hearing Instrument Specialist 514 Hanover St, Fall River, MA 02720-3742 2019-03-06
1386116515 Gary Lavern Winn Hearing Instrument Specialist 610 College Hwy Ste 13a, Southwick, MA 01077-9367 2018-12-28
1841778479 Richard Sylvester Chiaravalloti Hearing Instrument Specialist 91 Mccracken Rd. Hearing Aid Home Service, 91 Mccracken Rd., Millbury, MA 01527 2018-08-06
Find all providers with the same taxonomy

Competitor

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City WILBRAHAM
Zip Code 01095

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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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