Carly M Wallis (NPI# 1992030316, PAC ID# 4082841598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992030316 |
| PAC ID by PECOS | 4082841598 |
| Professional Enrollment ID | I20180322002370 |
| Full Name | Carly M Wallis |
| Organization Legal Name | OHIO SKIN CANCER INSTITUTE LLC |
| Address |
602 Morrison Rd Gahanna OH 43230-5342 |
| Phone Number | 6145859900 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355479213 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 602 Morrison Rd, Gahanna, OH 43230-5342 | 6145859900 | OHIO SKIN CANCER INSTITUTE LLC |
| Organization Legal Name | OHIO SKIN CANCER INSTITUTE LLC |
| Physicians | 1 |
| Street Address |
602 MORRISON RD |
| City | GAHANNA |
| State | OH |
| Zip | 43230-5342 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Bacon | Family Medicine | Drs. Bacon and Hooper, Inc. | 1045 Beecher Crossing N, Suite B, Gahanna, OH 43230 |
| Kimberly C Hooper | Family Medicine | Drs. Bacon and Hooper, Inc. | 1045 Beecher Crossing N, Suite B, Gahanna, OH 43230 |
| Christopher A Hess | Chiropractic | 830 E Johnsontown Rd, Gahanna, OH 43230-0001 | |
| Emily Evans | Physical Therapy | Ohrh, LLC | 5650 N Hamilton Rd, Columbus, OH 43230-1324 |
| Brian M Sammon | Family Practice | Ohiohealth Urgent Care LLC | 5610 N Hamilton Rd, Columbus, OH 43230-1324 |
| Gisele Johnson | Physical Therapy | Ohrh, LLC | 5650 N Hamilton Rd, Columbus, OH 43230-1324 |
| Patrick Joseph Dineen | Internal Medicine | 5691 Thompson Rd, Columbus, OH 43230-1345 | |
| Bradley Alan Otto | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Susan C Massick | Dermatology | Osu Internal Medicine, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Brenda B Hall | Qualified Audiologist | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Find all physicians in zip 43230 | |||
| City | GAHANNA |
| Zip Code | 43230 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GAHANNA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carly M Wallis.
| 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.