DR. TRENTON WALLACE (NPI# 1861633539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861633539 |
| Entity Type | Individual |
| Full Name | DR. TRENTON WALLACE |
| Practice Address |
608 Nw 9th St #4210 Oklahoma City OK 73102-1068 |
| Practice Telephone | 4054468290 |
| Practice Fax Number | 4056018298 |
| Mailing Telephone | 4054468290 |
| Mailing Fax Number | 4056018298 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2016-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
292 | OK | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447630819 | Trenton Wallace | Pharmacist | 125 Sontag Dr, Franklin, TN 37064-5757 | 2015-06-01 |
| Street Address |
608 NW 9TH ST #4210 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618003 | Keith John Kassabian | Internal Medicine | 608 Nw 9th St, Suite 2200, Oklahoma City, OK 73102-1068 | 2005-06-08 |
| 1417578725 | Olufolake Olufowote | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-28 |
| 1174152680 | Lan-uyen Trang Stephanie Nguyen | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-06 |
| 1548824345 | John Bradley Schoonover Jr. | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2019-04-26 |
| 1992292841 | Jessnie Jose | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2018-04-17 |
| 1972036168 | Nathan Blake John | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2017-04-05 |
| 1346771250 | Robert Paul Antosh | Family Medicine | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2017-03-22 |
| 1811447899 | Saints Medical Group, LLC | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2016-10-13 |
| 1760834089 | Lisa Snider | Pharmacist | 608 Nw 9th St, Suite 3200, Oklahoma City, OK 73102-1068 | 2016-07-11 |
| 1548612922 | Roshini Ann Samuel | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1992110092 | Christopher Marshall Seat | Podiatrist | 5500 N Portland Ave, Oklahoma City, OK 73112 | 2014-06-26 |
| 1598181976 | Leila Mae Mckenzie Straehla | Podiatrist | 13316 S Western Ave Ste I, Oklahoma City, OK 73170-7309 | 2014-03-10 |
| 1548576960 | Red Earth Foot and Ankle Inc. | Podiatrist | 13316 South Western, Suite I, Oklahoma City, OK 73170 | 2010-08-23 |
| 1124346473 | Nicholas B Plants | Podiatrist | 9315 S. Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6913 | 2010-05-12 |
| 1891931374 | Rick Traczyk II Dpm PC | Podiatrist | 13921 N Meridian Ave Ste 203, Oklahoma City, OK 73134-1104 | 2009-01-05 |
| 1598932899 | Henry M. Asin | Podiatrist | 5401 N Portland Ave Ste 395, Oklahoma City, OK 73112-2089 | 2008-05-15 |
| 1871627315 | Dr. David C. Cavallaro, D.p.m., Inc. | Podiatrist | 7370 S Walker Ave, Oklahoma City, OK 73139-7628 | 2007-03-15 |
| 1306827894 | Peter Quoc Le | Podiatrist | 2201 N Meridian Ave, Oklahoma City, OK 73107-2629 | 2005-11-10 |
| 1982606331 | Michael K Wilson | Podiatrist | 1126 Sw 89th St, Oklahoma City, OK 73139-9104 | 2005-08-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
Please comment or provide details below to improve the information on DR. TRENTON 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.