CHRISTOPHER WILLIAM WALLACE (NPI# 1992208706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992208706 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER WILLIAM WALLACE |
| Practice Address |
101 Stadium Dr Morgantown WV 26506-7911 |
| Practice Telephone | 3045984850 |
| Practice Fax Number | 3045984871 |
| Mailing Telephone | 3045984850 |
| Mailing Fax Number | 3045984871 |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958409 | Christopher Wallace | Counselor | 2627 Edenborn, 302, Metairie, LA 70002 | 2015-07-22 |
| 1578699641 | Christopher J Wallace | Dentist | 1400 Townview Ln, Santa Rosa, CA 95405-7538 | 2007-02-26 |
| 1790859528 | Christopher Shawn Wallace | Optometrist | 8745 Glacier Hwy, Space 426, Juneau, AK 99801-8029 | 2006-11-20 |
| 1578060646 | Christopher Wallace | Physical Therapy Assistant | 16333 Chagrin Blvd, Cleveland, OH 44120-3711 | 2018-04-06 |
| 1063923357 | Christopher Wallace | Marriage & Family Therapist | 1790 N State St, Orem, UT 84057-2025 | 2017-10-13 |
| 1932633328 | Christopher Wallace | General Practice | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-04-12 |
| 1366974610 | Christopher Scott Wallace | Social Worker | 620 John Paul Jones Cir, Portsmouth, VA 23708-2197 | 2017-03-28 |
| 1508301466 | Christopher Wallace | Specialist/Technologist | 1919 Skokie Valley Rd, Highland Park, IL 60035-2361 | 2017-01-03 |
| 1033599790 | Christopher Wallace | Emergency Medicine | 300 University Blvd, Round Rock, TX 78665-1032 | 2015-06-08 |
| 1285041301 | Christopher Wallace | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-07-21 |
| Street Address |
101 STADIUM DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721817 | Daniel Allen Martin | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2005-12-16 |
| 1023646023 | Shreyas Shirodkar | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-27 |
| 1972130946 | Bandar Ali Alyami | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1568099513 | Jacob Wayne Helsel Jr. | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1063049112 | Sher Ahmed Khan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1932736360 | Christopher Jeffery Gates | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1316574726 | Braden Ellis Taylor | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1659908945 | Gregory Adam Perkowski | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1043847841 | Katherine Louise Bergman | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| 1942837570 | Aisha Abbasi | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1487282554 | Michael Joseph Dugan IIi | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 1200, Morgantown, WV 26505-3409 | 2020-04-01 |
| 1295363646 | Catherine Maxine Powers | Student in an Organized Health Care Education/Training Program | 385 Dorsey Ave, Morgantown, WV 26501-6460 | 2020-03-31 |
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1679100127 | Joshua James Hurley | Student in an Organized Health Care Education/Training Program | 17 Van Gilder St, Morgantown, WV 26505-1760 | 2020-03-25 |
| 1629605399 | Rehab Othman Mohamed | Student in an Organized Health Care Education/Training Program | 206 Carmell Ct, Morgantown, WV 26505-7801 | 2020-03-24 |
| 1427684471 | Ameneh Zare Shahabadi | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Fl 5, Morgantown, WV 26506-1200 | 2020-03-20 |
| 1831725985 | Ion Prisneac | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr Rm 4601, Morgantown, WV 26505-3409 | 2020-03-20 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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| 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.