DR. MICHAEL H WALLACE


Address: 269 N 1st Ave, Suite 102, Iowa City, IA 52245-3616
Phone: 3196887777

DR. MICHAEL H WALLACE (NPI# 1801982475) 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) 1801982475
Entity Type Individual
Full Name DR. MICHAEL H WALLACE
Credential M.D.
Practice Address 269 N 1st Ave
Suite 102
Iowa City
IA 52245-3616
Practice Telephone 3196887777
Practice Fax Number 3196887775
Mailing Telephone 3196887777
Mailing Fax Number 3196887775
Enumeration Date 2006-10-04
Last Update Date 2011-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 37120 IA Allopathic & Osteopathic Physicians

Other Providers MICHAEL WALLACE

NPI Name Taxonomy Address Enumeration
1417014424 Michael J Wallace Dentist 1600 E 19th St, Suite 301, Edmond, OK 73013-6622 2007-01-02
1518042696 Michael J. Wallace Dentist 1263 High St, Auburn, CA 95603-5016 2006-10-26
1124127279 Michael James Wallace Dentist 1195 W Mason St, Green Bay, WI 54303-2045 2006-09-22
1679585038 Michael Patrick Wallace Dentist 9225 Manchester Rd, Suite 101, Saint Louis, MO 63144-2640 2006-08-13
1467438937 Michael Lloyd Wallace Pathology 522 Alpha Dr, Pittsburgh, PA 15238-2912 2005-12-16
1609356864 Michael Wallace Physical Therapy Assistant 5455 Knickerbocker Rd, San Angelo, TX 76904-7711 2018-08-17
1225579899 Michael Wallace Counselor 500 Allerton St, Second Floor, Redwood City, CA 94063-1519 2017-03-16
1376922948 Michael Taylor Wallace Ophthalmology 930 Madison Ave Ste 200, Memphis, TN 38103 2015-05-28
1194029777 Michael T Wallace Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2010-12-22
1003116658 Michael Eugene Wallace Psychologist 201 E Liberty St, Suite 2, Ann Arbor, MI 48104-2118 2010-10-29

Office Location

Street Address 269 N 1ST AVE
SUITE 102
City IOWA CITY
State IA
Zip Code 52245-3616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962480970 Susan Dale Wall Dermatology 269 N 1st Ave, Ste 100, Iowa City, IA 52245 2006-01-09
1376064154 Susan Ann Meyer Nurse Practitioner 269 N 1st Ave, Iowa City, IA 52245-3616 2017-06-30
1669916102 Jennifer Cecil Sassman Nurse Practitioner 269 N 1st Ave, Iowa City, IA 52245-3616 2016-12-16
1679925069 Courtney Leigh Henn Engel Physician Assistant 269 N 1st Ave, Iowa City, IA 52245-3616 2016-07-08
1477806354 Ic Dermatology, PC Dermatology 269 N 1st Ave, Ste 100, Iowa City, IA 52245-3616 2012-10-17
1467747782 Dacia N Watts Registered Nurse 269 N 1st Ave, Iowa City, IA 52245-3616 2011-06-15
1952549792 Ic Dermatology PC Dermatology 269 N 1st Ave, Suite 100, Iowa City, IA 52245-3616 2009-02-02
1225152374 Erica Suzanne Colleran Dermatology 269 N 1st Ave, Suite 100, Iowa City, IA 52245-3616 2007-03-16
1801933569 Mercy Services Iowa City, Inc. Clinic/Center 269 N 1st Ave, Iowa City, IA 52245-3616 2007-01-31
1013097856 Dustaff R.c. Persaud Physician Assistant 269 N 1st Ave, Iowa City, IA 52245-3616 2006-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730699356 Mary Beth Shapcott Registered Nurse 500 East Market St., Mercy Hospital Diabetes Education, Iowa City, IA 52245 2017-10-10
1366703167 Elizabeth Bright Occupational Therapist 540 E. Jefferson Street., Ste.302, Iowa City, IA 52245 2012-06-07
1043518368 Robert Brian Goffstein Ophthalmology 403 North 7th Ave, Iowa City, IA 52245 2011-03-10
1750682936 Robert Alvin Blair Dentist 134 Broadmoor Lane, Iowa City, IA 52245 2010-11-04
1215167457 Laura J Ericson Occupational Therapist 540 E Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-07-22
1780818294 Kathryn Leigh Bossen Physical Therapist 540 E. Jefferson Street, Ste. 302, Iowa City, IA 52245 2009-05-12
1073751095 Jessica L Keeran Physical Therapist 2751 Northgate Dr. Ne, Iowa City, IA 52245 2009-01-29
1437330370 Francine Mardarello Hunnicutt Marriage & Family Therapist 1610 East College St, Iowa City, IA 52245 2007-11-20
1659574853 Joan Victoria Rinner Marriage & Family Therapist 121 University Services Building, University of Iowa, Iowa City, IA 52245 2007-06-06
1053529966 Steve Bernt Hammerstrom Chiropractor 373 B Scott Court, Iowa City, IA 52245 2007-05-21
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972162519 Stephanie Anne Pickthorn Family Medicine 200 Hawkins Dr Dept Family, Iowa City, IA 52242-1009 2019-06-07
1326527284 Ramy Salib Family Medicine 1000 Oakcrest St, Iowa City, IA 52246-5194 2018-08-11
1932685013 Christian Ann Mann Family Medicine 826 Basswood Ln, Iowa City, IA 52246-5810 2018-07-12
1255760260 Mintesinot Fitamo Family Medicine 825 Oakcrest St Apt 6, Iowa City, IA 52246-3421 2013-11-11
1548526189 State University of Iowa Family Medicine 767 Mormon Trek Blvd, Iowa City, IA 52246-1812 2012-04-09
1336410471 Catherine Dehaven Swanson Family Medicine 1717 Winston Dr, Iowa City, IA 52245-6047 2012-01-20
1881978047 Bradley Center PC Family Medicine 1527 S Gilbert St, Iowa City, IA 52240-4367 2011-10-06
1205159688 Mei Shi Family Medicine 1067 Ryan Ct, Iowa City, IA 52246-2847 2010-03-12
1013241850 State University of Iowa Family Medicine 1632 Sycamore St, Iowa City, IA 52240-6044 2009-09-28
1972720274 Cecilia M Redmond-norris Family Medicine 2440 Towncrest Dr, Iowa City, IA 52240-6622 2007-04-19
Find all providers in IOWA CITY

Competitor

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City IOWA CITY
Zip Code 52245

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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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