DR. WALLACE ALVIN DONALDSON (NPI# 1750355020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750355020 |
| Entity Type | Individual |
| Full Name | DR. WALLACE ALVIN DONALDSON |
| Credential | M.D. |
| Practice Address |
102 6th St Zillah WA 98953-9442 |
| Practice Telephone | 5098295699 |
| Practice Fax Number | 5098296366 |
| Mailing Telephone | 5098295699 |
| Mailing Fax Number | 5098296366 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD00009019 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1531508 | 05 |
| Street Address |
102 6TH ST |
| City | ZILLAH |
| State | WA |
| Zip Code | 98953-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063986925 | Brian Scott Hatch | Optometrist | 811 Zillah West Rd, Zillah, WA 98953 | 2019-01-14 |
| 1063730570 | Jonathan Acob Davenport | Family Medicine | 616 Railroad Ave, Ste 1&2, Zillah, WA 98953 | 2010-05-07 |
| 1194040998 | Medstar Cabulance Inc | Taxi | 614 Railroad Ave, Zillah, WA 98953 | 2010-04-05 |
| 1366674483 | Sherry Denise Castilleja | Massage Therapist | 513 First Ave., Suite 90, Zillah, WA 98953 | 2009-08-24 |
| 1275768988 | Dolores Francisca Martinez | Massage Therapist | 513 1st Ave., Ste. 101, Zillah, WA 98953 | 2009-05-26 |
| 1215113824 | Alma Stephas | Interpreter | 514 W 4th Ave, Toppenish, WA 98953 | 2008-01-14 |
| 1417008178 | Michael Patrick Woods | Optometrist | 915 Vintage Valley Parkway, Suite 100, Zillah, WA 98953 | 2007-01-16 |
| 1780126177 | Memorial Physicians, Pllc | Family Medicine | 616 Railroad Ave, Suite 1 & 2, Zillah, WA 98953 | 2016-11-16 |
| 1902289903 | Heather Allison Hutchinson | Massage Therapist | 607 1st Ave, Zillah, WA 98953 | 2015-07-08 |
| 1417148388 | Zillah Chiropractic Center Inc Ps | Chiropractor | 513 1st Ave, Zillah, WA 98953 | 2007-08-06 |
| Find all providers in zip 98953 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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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.