William Wallace (NPI# 1992183412, PAC ID# 4284934035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1992183412 |
| PAC ID by PECOS | 4284934035 |
| Professional Enrollment ID | I20151130001155 |
| Full Name | William Wallace |
| Organization Legal Name | FAST PACE MEDICAL CLINIC PLLC |
| Address |
101 W Broad St Smithville TN 37166-1915 |
| Phone Number | 8556323278 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395881841 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 203 N Cedar Ave, Cookeville, TN 38501-2499 | 9315281992 | MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC |
| 101 W Broad St, Smithville, TN 37166-1915 | 8556323278 | FAST PACE MEDICAL CLINIC PLLC |
| Organization Legal Name | FAST PACE MEDICAL CLINIC PLLC |
| Physicians | 272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Solomon | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 189 Monroe Pl, Suite 104, Ashland City, TN 37015-4940 |
| Brande Nicole Pharris | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 502 Ellington Dr, Lafayette, TN 37083-1697 |
| Julie Ann Walker | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1118 N Gateway Ave, Rockwood, TN 37854-4012 |
| Lacy Rebaka Thomas | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2634 N Central Ave, Humboldt, TN 38343-1534 |
| Jason A. Martin | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 2401 Decherd Blvd, Winchester, TN 37398-1164 |
| Jacqueline Wilson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 1297 Mineral Wells Ave, Paris, TN 38242-5050 |
| Micah Sellew | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 321 E Central Ave, Jamestown, TN 38556-4103 |
| Stephanie Jane Perry | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 601 Beech St, Centerville, TN 37033-1101 |
| Christopher Delk | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 573 Carthage Bypass, Carthage, TN 37030-1573 |
| Regina Elizabeth Carson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 19536 Alberta St, Oneida, TN 37841-3382 |
| Street Address |
101 W BROAD ST |
| City | SMITHVILLE |
| State | TN |
| Zip | 37166-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kacy Kirk | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Joshua M. Brooks | Chiropractic | 101 W Broad St, Suite 530, Falls Church, VA 22046-4239 | |
| Angela Cammarata | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Stacie Rothfus | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Robin Crowell | Physician Assistant | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Sheldon Dreaddy | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Mark A Tankersley | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Katie L Agee | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Jennifer Wainright Riley | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 101 W Broad St, Smithville, TN 37166-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Doug Gibbons Hooper | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Denise R Dingle | General Practice | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Jack Randall Rhody | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| William Hanford Sherwood | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Kevin Ryan Rhody | Family Medicine | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Tinera Dawn Hutchins-conry | Nurse Practitioner | Saint Thomas Medical Partners | 520 W Main, Smithville, TN 37166 |
| Charles J Wray | Pulmonary Disease | Columbia Medical Group - The Frist Clinic Inc | 518 W Main St, Smithville, TN 37166-1100 |
| James C Wall Jr. | General Practice | 518 W Main St C, Smithville, TN 37166-1100 | |
| Kevin Malone | Chiropractic | 502 W Main St, Smithville, TN 37166-1118 | |
| Thomas White | Certified Registered Nurse Anesthetist (crna) | Webb Anesthesia Services Pllc | 520 W Main St, Smithville, TN 37166-1138 |
| Find all physicians in zip 37166 | |||
| City | SMITHVILLE |
| Zip Code | 37166 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SMITHVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on William 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.