ERIC WALLACE (NPI# 1871706960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871706960 |
| Entity Type | Individual |
| Full Name | ERIC WALLACE |
| Credential | MD |
| Practice Address |
Paula Bldg 230 728 Richard Arrington Blvd Birmingham AL 35294-0001 |
| Practice Telephone | 2059345999 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
46045 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
46045 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183476 | Eric T Wallace | Physical Therapist | W5361 County Road Kk Ste E, Appleton, WI 54915-7271 | 2009-06-04 |
| 1922218809 | Eric Wallace | Radiologic Technologist | 4004 Landside Dr, Louisville, KY 40220-3020 | 2007-05-22 |
| 1174665277 | Eric H Wallace | Dentist | 28 Se 6th St, Boca Raton, FL 33432-6016 | 2007-02-13 |
| 1780614529 | Eric L. Wallace | Surgery | 1450 Matthews Township Parkway, Suite 300, Matthews, NC 28105 | 2006-07-04 |
| 1912409160 | Eric Wallace | Psychologist | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2018-03-05 |
| 1528333838 | Eric Joseph Wallace Jr. | Radiology | 1542 Tulane Ave, Room 353, New Orleans, LA 70112-2865 | 2012-03-20 |
| 1568658243 | Eric L Wallace | Internal Medicine | 700 W Ironwood Dr, 320, Coeur D Alene, ID 83814-2656 | 2007-09-17 |
| 1891838991 | Eric Michael Wallace | Dentist | 1515 State St, Suite 9, Santa Barbara, CA 93101-2536 | 2007-02-15 |
| 1154434488 | Eric Wallace | Family Medicine | 143 Longwater Dr, Norwell, MA 02061-1683 | 2006-08-17 |
| 1578502191 | Eric Wallace | Radiology | 168 N Brent St, Suite 402, Ventura, CA 93003-2817 | 2006-06-06 |
| Street Address |
PAULA BLDG 230 728 RICHARD ARRINGTON BLVD |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35294-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578055943 | Ashley Becking Smith | Optometrist | 1716 University Blvd G090a, Birmingham, AL 35294 | 2018-06-01 |
| 1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
| 1295235372 | Ruben Angiolo Mazzucchelli | Student in an Organized Health Care Education/Training Program | 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 | 2018-02-15 |
| 1528571981 | Alison Rachel Thomas | Social Worker | Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 | 2017-11-08 |
| 1346752490 | Sara Michelle Kimbrell | Nurse Practitioner | 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 | 2017-10-30 |
| 1801338785 | Melissa Robinson | Specialist/Technologist | 608 13th St South, Wb104, Birmingham, AL 35294 | 2016-11-09 |
| 1487020897 | Heriberto Enrique Matos Santana | Student in an Organized Health Care Education/Training Program | 1900 University Blvd Tht Building 311, Birmingham, AL 35294 | 2015-08-19 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1407257629 | Kathryn Johannah Langley | Nurse Practitioner | 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 | 2014-09-08 |
| 1427463702 | Lakeshia Thomas | Student in an Organized Health Care Education/Training Program | 1919-7th Avenue South, 304a, Birmingham, AL 35294 | 2014-06-25 |
| Find all providers in zip 35294 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
| 1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
| 1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
| 1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
| 1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
| 1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
| 1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
| 1356399950 | Roman R Brantley | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2006-05-05 |
| 1992772677 | Bharat Sarathi Kapoor | Internal Medicine | 5313 Brookwood Blvd, Ste 310, Birmingham, AL 35209-6862 | 2006-03-02 |
| 1508245226 | John William Elliott | Internal Medicine | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35294 |
Please comment or provide details below to improve the information on ERIC 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.