ROBERT WILLIAM WALLACE (NPI# 1972947257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972947257 |
Entity Type | Individual |
Full Name | ROBERT WILLIAM WALLACE |
Credential | RN |
Practice Address |
40 Ridge Dr West Hurley NY 12491-5627 |
Practice Telephone | 9142049677 |
Mailing Telephone | 9142049677 |
Enumeration Date | 2013-04-17 |
Last Update Date | 2013-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
578054 | NY | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316430176 | Robert E Wallace | Case Manager/Care Coordinator | 283 Old Colliers Way, Weirton, WV 26062-4073 | 2018-06-07 |
1801337134 | Robert William Wallace II | Student in an Organized Health Care Education/Training Program | 204 N Silver Maple Dr, Slidell, LA 70458-5483 | 2017-03-20 |
1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
1487991683 | Robert J Wallace | Acupuncturist | 1619 W Montrose, Chicago Holistic Medicine, Chicago, IL 60613 | 2013-01-08 |
1154582773 | Robert Lee Wallace | Counselor | 110 S Hancock St, Rockingham, NC 28379-3675 | 2008-06-17 |
1649484635 | Robert Jay Wallace | Obstetrics & Gynecology | 6250 Alfred Harrell Hwy, Bakersfield, CA 93308-9654 | 2007-05-09 |
1023132644 | Robert S Wallace | Chiropractor | 7 Centre Dr, Suite 10, Monroe, NJ 08831-1565 | 2007-03-19 |
1750443024 | Robert Wallace | Pharmacist | 12421 W Denton Ave, Litchfield Park, AZ 85340-3435 | 2006-12-14 |
1922113174 | Robert Vernon Wallace | Family Medicine | 400 Lee Blvd, Lehigh Acres, FL 33936-4923 | 2006-08-20 |
1134133200 | Robert Duncan Wallace | Psychiatry & Neurology | 2972 Devonshire Cir, Salt Lake City, UT 84108-2526 | 2006-07-27 |
Street Address |
40 RIDGE DR |
City | WEST HURLEY |
State | NY |
Zip Code | 12491-5627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669954020 | Lauren Brittany Panesa | Licensed Practical Nurse | 216 Baker Road, West Hurley, NY 12491 | 2018-09-02 |
1548716129 | Abbey Semel | Acupuncturist | 1310 Rt 28, Box 300, West Hurley, NY 12491 | 2016-09-01 |
1407115694 | Stone Flower Mountain Health Associates | Acupuncturist | 1310 Route 28, West Hurley, NY 12491 | 2012-05-09 |
1376853051 | Josephine A Genovese Deutsch | Registered Nurse | 148 Tanglewood Rd, West Hurley, NY 12491 | 2010-10-15 |
1154648384 | Elizabeth Nicoll Lawrence | Registered Nurse | 29 Pleasant Ridge Drive, West Hurley, NY 12491 | 2010-04-28 |
1629227103 | Ray Pollard Jr. | Technician, Other | 1314 Rt. 28, West Hurley, NY 12491 | 2008-09-09 |
1649375916 | Donna J Boundy | Social Worker | 6 Birch St, West Hurley, NY 12491 | 2006-09-13 |
1154877793 | Yong Chen | Acupuncturist | 1310 Rt 28, West Hurley, NY 12491 | 2016-09-01 |
1477784676 | Julie M Staber | Social Worker | 1260 Route 28, West Hurley, NY 12491 | 2009-08-05 |
1659436277 | Steven Sugarman | Optometrist | 409 Route 375, West Hurley, NY 12491-0360 | 2006-12-26 |
Find all providers in zip 12491 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376853051 | Josephine A Genovese Deutsch | Registered Nurse | 148 Tanglewood Rd, West Hurley, NY 12491 | 2010-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871192575 | Deni L Lobrutto | Registered Nurse | 80 Park Ln, Grand Island, NY 14072-3340 | 2020-10-22 |
1386243079 | Melanie Yap | Registered Nurse | 5334 206th St, Oakland Gardens, NY 11364-1714 | 2020-10-22 |
1932707155 | Nurselance Health LLC | Registered Nurse | 1044 E 105th St, Brooklyn, NY 11236-3002 | 2020-10-09 |
1487260063 | Mei Ling Gilbert | Registered Nurse | 10 Woodside Ave, Elmsford, NY 10523-2810 | 2020-09-19 |
1164037180 | Elizabeth Ann Primiano | Registered Nurse | 394 Ocean Ave, Massapequa, NY 11758-5228 | 2020-09-15 |
1508471236 | Samantha Kate Saraceno | Registered Nurse | 107 Rumbold Ave, North Tonawanda, NY 14120-4623 | 2020-09-10 |
1831703826 | Lateisha Freeman | Registered Nurse | 1 Cross Island Plz Ste 210, Rosedale, NY 11422-1456 | 2020-09-07 |
1891307658 | Jessica Ruggiero | Registered Nurse | 59 Rose St, Hastings On Hudson, NY 10706-3410 | 2020-08-21 |
1245842053 | Mary Reiner | Registered Nurse | 16 Harold St, Nanuet, NY 10954-3733 | 2020-08-21 |
1982221164 | Rebecca Armbrust | Registered Nurse | 225 Hilltop Dr, Elma, NY 14059-9412 | 2020-07-03 |
Find all providers with the same taxonomy |
City | WEST HURLEY |
Zip Code | 12491 |
Please comment or provide details below to improve the information on ROBERT WILLIAM 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.