Mark S Wallace (NPI# 1295726982, PAC ID# 0042112583) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1295726982 |
| PAC ID by PECOS | 0042112583 |
| Professional Enrollment ID | I20040123000951 |
| Full Name | Mark S Wallace |
| Organization Legal Name | SOUND HEALTH SERVICES PC |
| Address |
12399 Gravois Rd Suite 120 Saint Louis MO 63127-1750 |
| Phone Number | 3148433828 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1987 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, SURGICAL ONCOLOGY |
| Group Practice PAC ID | 0446227821 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12399 Gravois Rd, Suite 120, Saint Louis, MO 63127-1750 | 3148433828 | SOUND HEALTH SERVICES PC |
| 12399 Gravois Rd, Saint Louis, MO 63127-1750 | 3148433828 | SOUND HEALTH SERVICES PC |
| Organization Legal Name | SOUND HEALTH SERVICES PC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Mark F Stroble | Otolaryngology | Sound Health Services PC | 9701 Landmark Pkwy Dr, Suite 201, Saint Louis, MO 63127-1665 |
| Shanna L Moshure | Qualified Audiologist | Sound Health Services PC | 19 Wolf Creek Dr, Swansea, IL 62226-2355 |
| Richard W Maack | Otolaryngology | Sound Health Services PC | 17000 Baxter Rd, Suite 102, Chesterfield, MO 63005-1444 |
| Debra A Schuerman | Nurse Practitioner | Sound Health Services PC | 1010 Old Des Peres Rd, Saint Louis, MO 63131-1865 |
| Jaime L Carmody | Qualified Audiologist | Sound Health Services PC | 12380 Olive Blvd, Saint Louis, MO 63141-6443 |
| John Yong Park | Otolaryngology | Sound Health Services PC | 4651 Hwy K, O Fallon, MO 63368-8690 |
| Mary M Lewis | Qualified Audiologist | Sound Health Services PC | 3860 S Lindbergh Blvd, Suite 108, Saint Louis, MO 63127-1373 |
| Sean B Bailey | Otolaryngology | Sound Health Services PC | 1011 Bowles Ave, Suite 405, Fenton, MO 63026-2387 |
| Chelsea Marie Tisckos | Qualified Audiologist | Sound Health Services PC | 9701 Landmark Pkwy Dr, Suite 201, Saint Louis, MO 63127-1665 |
| Street Address |
12399 GRAVOIS RD SUITE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63127-1750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly D Porter | Nurse Practitioner | Sound Health Services PC | 12399 Gravois Rd, Suite 120, Saint Louis, MO 63127-1750 |
| Kristen L Willis | Audiologist | Sound Health Services PC | 12399 Gravois Rd, Saint Louis, MO 63127-1750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Pradeep Kapoor | Internal Medicine | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| David Alan Theodoro | Cardiac Surgery | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Ellen R Wertenberger | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Dawn M Calabrese | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Coralia I Leyderman | Physician Assistant | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Edward S Levy | Obstetrics/gynecology | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Ahmet T Gurbuz | Cardiac Surgery | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Robert Snitzer | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| John Randall Cornett Ii | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Find all physicians in zip 63127 | |||
| City | SAINT LOUIS |
| Zip Code | 63127 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAINT LOUIS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Mark S Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.