SCOTT MICHAEL WALLACE


Address: 75 Pringle Way, Ste 300, Reno, NV 89502-1464
Phone: 7759825000

SCOTT MICHAEL WALLACE (NPI# 1922441880) 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) 1922441880
Entity Type Individual
Full Name SCOTT MICHAEL WALLACE
Credential M.D.
Practice Address 75 Pringle Way
Ste 300
Reno
NV 89502-1464
Mailing Address 780 Kuenzli St
Ste 202
Reno
NV 89502-0845
Practice Telephone 7759825000
Practice Fax Number 7759823900
Mailing Telephone 7759825262
Mailing Fax Number 7759825496
Enumeration Date 2013-04-10
Last Update Date 2016-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 16487 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 13804974 01

Other Providers SCOTT WALLACE

NPI Name Taxonomy Address Enumeration
1275809899 Scott Andrew Wallace Student in an Organized Health Care Education/Training Program Navy Medicine Support Command Attn: Med Staff Services, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2012-03-28
1184996399 Scott D Wallace Social Worker 63 Glenwood St, Lowell, MA 01852-3007 2012-02-02
1629139563 Scott Matthew Wallace Chiropractor 8960 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-8929 2006-12-13
1770655342 Scott G Wallace Chiropractor 2515 Crosby Ave, Klamath Falls, OR 97603-4553 2006-11-15
1558381822 Scott Christopher Wallace Anesthesiology Po Box 112, Muncie, IN 47308-0112 2006-07-20
1831611839 Scott Christopher Wallace Nurse Practitioner 1900 S Main St, Findlay, OH 45840-1214 2017-07-11
1104359975 Scott Robert Wallace Psychiatry & Neurology 103 N Loop 499, Harlingen, TX 78550-2557 2017-04-07
1134414220 Scott Eric Wallace Pharmacist 1214 N Market Blvd, Suite C, Sacramento, CA 95834-2931 2011-06-16
1568755114 Scott Wallace Technician, Other 4801 Reading St, Dallas, TX 75247-6716 2011-05-16
1265613855 Scott Arthur Wallace Physician Assistant 3643 N Roxboro St, Durham Regional Hospital Emergency Department, Durham, NC 27704-2702 2007-11-25

Office Location

Street Address 75 PRINGLE WAY
STE 300
City RENO
State NV
Zip Code 89502-1464

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043218431 Jeffrey K Beall Otolaryngology 75 Pringle Way, Suite 509, Reno, NV 89502-1464 2005-07-11
1497238257 Tiffany Broce Nurse Practitioner 75 Pringle Way, Reno, NV 89502-1464 2018-09-07
1346772910 Laura Michelle Orange Registered Nurse 75 Pringle Way, Reno, NV 89502-1464 2017-04-01
1285171249 Sierra Infectious Disease Clinic/Center 75 Pringle Way, Suite 705, Reno, NV 89502-1464 2017-01-27
1023550704 Heather Nicole Carroll Nurse Practitioner 75 Pringle Way, Suite 512, Reno, NV 89502-1464 2016-11-10
1548712771 Gomez Kozar Mcelreath Smith Nurse Practitioner 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 2016-11-04
1407219801 Amy Gardner Physician Assistant 75 Pringle Way, Suite 804, Reno, NV 89502-1464 2016-04-01
1417320540 Sierra Pediatric Blood and Cancer Consortium Pediatrics 75 Pringle Way, Reno, NV 89502-1464 2015-11-11
1306216163 Karen E Dosh Registered Nurse 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 2015-10-05
1811331713 Chiyo Wendy Takehara Family Medicine 75 Pringle Way, Suite 601, Reno, NV 89502 2013-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1447879259 Ryan Johnson Student in an Organized Health Care Education/Training Program 1155 Mill St. W-11, Reno, NV 89502 2020-04-11
1396378063 Domingko Loney Chore Provider 1325 Air Motive Wat St 262, Reno, NV 89502 2020-02-20
1053954842 Derek Craig Home Health Aide 1000 Havard Way #29, Reno, NV 89502 2019-10-24
1477108124 Marisa Rachael Traversie Nurse Practitioner 910 Vista Boulevard, Sparks, NV 89502 2019-08-08
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1881154706 Naresh Kumar Veerabattini Student in an Organized Health Care Education/Training Program 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 2019-03-25
1053899187 Daphne London Behavioral Analyst 1325 Airmotive Way Ste 260, Reno, NV 89502 2018-07-31
1790271609 Jennifer J Padolina Optometrist 2296 Kietzke Ln, Reno, NV 89502 2018-07-03
1336630185 Lindsey Cherie Cooper Technician 3563 Sol Grande Ct, Reno, NV 89502 2018-05-27
Find all providers in zip 89502

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437528825 Tammy Roesler Md PC Pediatrics 3725 Lakeside Dr, Reno, NV 89509-5239 2015-09-16
1952703779 Mark E Swanson Pediatrics 5190 Neil Rd., #215, Reno, NV 98502 2014-09-24
1245596055 The Medical Profession, LLC Pediatrics 5301 Reno Corporate Dr., Reno, NV 89511 2012-04-05
1972874170 Mayenne Alonzo Karelitz Pediatrics 5010 Ventana Pkwy, Reno, NV 89511-5605 2012-01-19
1578859377 Nancy Heinz Sader Pediatrics 7215 Lingfield Dr, Reno, NV 89502-9662 2011-06-21
1114217502 Megan Jean Dory Pediatrics 645 N Arlington Ave Ste 620, Reno, NV 89503-4444 2011-04-19
1699917294 Christina Elise Raman Pediatrics 6350 Mae Anne Ave Ste 3, Reno, NV 89523-4718 2009-03-27
1194970921 The Speicher Medical Grp Pediatrics 75 Pringle # 301, Reno, NV 89502 2008-11-20
1235399767 Ron Max Aryel Pediatrics 6548 South Mccarran Blvd., Suite A, Reno, NV 89509-6150 2008-06-09
1720276587 Shaji Mathew Md., P.C. Pediatrics 3639 Warren Way, Suite #100, Reno, NV 89509 2007-10-05
Find all providers in RENO

Competitor

Search similar providers

City RENO
Zip Code 89502

Improve Information

Please comment or provide details below to improve the information on SCOTT MICHAEL WALLACE.

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.

Trending Searches