WAYMON L WALLACE (NPI# 1841213667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841213667 |
| Entity Type | Individual |
| Full Name | WAYMON L WALLACE |
| Credential | MD |
| Practice Address |
1577 Goodman Ave Ste A Cincinnati OH 45224-1044 |
| Mailing Address |
Po Box 40535 Cincinnati OH 45240-0535 |
| Practice Telephone | 5134033762 |
| Practice Fax Number | 5135216403 |
| Mailing Telephone | (513) 403-3762 |
| Mailing Fax Number | 5135216403 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35076674 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2232177 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5150 Sandy Ln, Fairfield, OH 450142738 | 5138969595 | 5138964171 |
| Street Address |
1577 GOODMAN AVE STE A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45224-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649657222 | Jacqueline Marie Schmidt | Registered Nurse | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2015-05-02 |
| 1144527870 | Wallace Physician Services LLC | Internal Medicine | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2011-02-15 |
| 1649405259 | Bryan Fallis | Podiatrist | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679035653 | Twin Towers | Assisted Living Facility | 5343 Hamilton Avenue, Attn: Lec Finance, Cincinnati, OH 45224 | 2019-04-01 |
| 1376025700 | Lashonda Ferguson | Licensed Practical Nurse | 6465 Devonwood . Drive, Cincinnati, OH 45224 | 2018-09-01 |
| 1992205082 | Crystal Mccray | Massage Therapist | 6204 Hamilton Avenue, Suite 6 D, Cincinnati, OH 45224 | 2018-02-15 |
| 1023517927 | Queen City Medical Transport | Non-emergency Medical Transport (VAN) | 824 W. North Bend, Unit 2 Box #5, Cincinnati, OH 45224 | 2018-02-06 |
| 1982123311 | Brenda Frost Mitchel | Counselor | 5837 Hamilton Avenue, Cincinnati, OH 45224 | 2017-09-18 |
| 1043732522 | Deborah Ann Whitlock | Registered Nurse | 6404 Aspen Way, #2, Cincinnati, OH 45224 | 2017-07-17 |
| 1225403488 | Tierria Suggs | Home Health Aide | 1442 Marlowe Ave, Cincinnati, OH 45224 | 2015-12-14 |
| 1417370305 | Bobby Jordan | Social Worker | 5800 Salvia Avenue, Cincinnati, OH 45224 | 2014-01-28 |
| 1528333697 | Lynn Mary Fitzwater | Registered Nurse | 6484 Teakwood Ct, Cincinnati, OH 45224 | 2012-03-21 |
| 1063782282 | Markiana S. Cornist | Licensed Practical Nurse | 6240 Hamilton Ave Ste 6c, Cincinnati, OH 45224 | 2012-01-04 |
| Find all providers in zip 45224 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787668 | Bharat Avirneni | Internal Medicine | 2139 Auburn Ave Rm 6166, Cincinnati, OH 45219-2906 | 2017-05-18 |
| 1336591759 | Hira Ghazal Shaikh | Internal Medicine | 3125 Eden Ave Ml 0562, Cincinnati, OH 45267-0562 | 2016-07-09 |
| 1255789228 | Daniel Nisi | Internal Medicine | 2139 Auburn Ave., Cincinnati, OH 45255 | 2016-05-31 |
| 1508210337 | Scott Douglas | Internal Medicine | 2123 Auburn Ave Ste A28, Cincinnati, OH 45219 | 2016-04-18 |
| 1679927842 | Firas Ahmed Adeel | Internal Medicine | 231 Albert Sabin Way Rm 6102, Cincinnati, OH 45267-3800 | 2016-04-14 |
| 1760862973 | Ilana Miriam Schlam | Internal Medicine | 3622 Zumstein Ave Apt 101, Cincinnati, OH 45208-1331 | 2015-06-02 |
| 1851787634 | R Geoffrey Motz | Internal Medicine | 2123 Auburn Ave Ste 404, Cincinnati, OH 45219-2906 | 2015-04-08 |
| 1235525023 | Grace Escamilla | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2015-04-08 |
| 1104231067 | Palwasha Kamal | Internal Medicine | 231 Albert Sabin Way # R7162, Cincinnati, OH 45267-0001 | 2014-06-30 |
| 1003221169 | Ewa Gniado | Internal Medicine | 3230 Eden Ave Box 670547, Cincinnati, OH 45267-6712 | 2014-06-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45224 |
Please comment or provide details below to improve the information on WAYMON L WALLACE.
| 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.