MICHAEL WALLACH (NPI# 1841261591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841261591 |
| Entity Type | Individual |
| Full Name | MICHAEL WALLACH |
| Credential | MD |
| Practice Address |
20 Catamore Blvd East Providence RI 02914 |
| Practice Telephone | 4014322520 |
| Mailing Telephone | 4014322520 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7329 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NHPRI | 000000001988 | 01 | |
| BLUE CHIP | 004389 | 01 | |
| TUFTS | 007329 | 01 | |
| MASS MEDICAID | 3207765 | 01 | |
| RIH PILGRIM | 240161 | 01 | |
| UNITED HEALTH PLANS | 1600203 | 01 | |
| HEALTHY START | 3207765 | 01 | |
| BLUE SHIELD | 007329 | 01 | |
| RI MEDICAL ASSISTANCE | 7000630 | 01 | |
| FEP BLUE CROSS | 7329 | 01 | |
| 240161 | W&I PILGRIM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255752572 | Michael Wallach | Behavioral Analyst | 21917 78th Pl W, Edmonds, WA 98026-7877 | 2014-01-05 |
| Street Address |
20 CATAMORE BLVD |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006988 | Gregory Iafrate | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2005-10-13 |
| 1790113967 | David Stowik | Physician Assistant | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2013-10-24 |
| 1568720662 | Veral Amin | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2012-04-25 |
| 1912281213 | Katie Marie Benedetti | Physician Assistant | 20 Catamore Blvd, East Providence, RI 02914 | 2011-10-05 |
| 1962781203 | Aaron Harman | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2011-08-04 |
| 1962723114 | William E Loverme Jr. | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2010-06-22 |
| 1730344847 | Lukasz Michal Partyka | Student in an Organized Health Care Education/Training Program | 20 Catamore Blvd, East Providence, RI 02914 | 2008-07-29 |
| 1255593745 | Farrah J Wolf | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2008-06-26 |
| 1659582989 | Elizabeth Armitage Little | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2007-05-25 |
| 1053532002 | Nafisa B Ibrahim | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006988 | Gregory Iafrate | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2005-10-13 |
| 1568720662 | Veral Amin | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2012-04-25 |
| 1962781203 | Aaron Harman | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2011-08-04 |
| 1962723114 | William E Loverme Jr. | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2010-06-22 |
| 1255593745 | Farrah J Wolf | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2008-06-26 |
| 1659582989 | Elizabeth Armitage Little | Radiology | 20 Catamore Blvd, East Providence, RI 02914-1204 | 2007-05-25 |
| 1053532002 | Nafisa B Ibrahim | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2007-05-01 |
| 1992809255 | Dena Ann Ramos | Radiology | 20 Catamore Blvd, Rhode Island Medical Imaging Inc, East Providence, RI 02914 | 2006-09-08 |
| 1861416448 | Metacomet Mri | Radiology | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2006-07-27 |
| 1265466825 | Robert Villani | Radiology | 20 Catamore Blvd, East Providence, RI 02914 | 2006-07-10 |
| Find all providers in EAST PROVIDENCE | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
Please comment or provide details below to improve the information on MICHAEL WALLACH.
| 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.