Elizabeth Wallace (NPI# 1982159356, PAC ID# 4486941077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1982159356 |
| PAC ID by PECOS | 4486941077 |
| Professional Enrollment ID | I20160926001229 |
| Full Name | Elizabeth Wallace |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Address |
2001 Laurel Ave Knoxville TN 37916-1810 |
| Phone Number | 8655779247 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860396330 |
| Number of Group Practice Members | 346 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2001 Laurel Ave, Knoxville, TN 37916-1810 | 8655779247 | SUMMIT MEDICAL GROUP, PLLC |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Physicians | 391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Jonathan Smith Dale | Family Medicine | Summit Medical Group, Pllc | 1208 Merchant Dr, Knoxville, TN 37912-4707 |
| Katherine Marie Stone | Family Medicine | Summit Medical Group, Pllc | 111 Station Dr, Maryville, TN 37804-4190 |
| Ashley N Smith | Nurse Practitioner | Summit Medical Group, Pllc | 4117 E Emory Rd, Knoxville, TN 37938-4229 |
| Jessica R Atchley | Nurse Practitioner | Summit Medical Group, Pllc | 641 Middle Creek Rd, Sevierville, TN 37862-5014 |
| Sara R Rowe | Nurse Practitioner | Summit Medical Group, Pllc | 6537 Kingston Pike, Knoxville, TN 37919-4826 |
| Allison L Suits | Physical Therapy | Summit Medical Group, Pllc | 103 Midlake Dr, Knoxville, TN 37918-3039 |
| Jacqueline Dotson | Nurse Practitioner | Summit Medical Group, Pllc | 103 Midlake Dr Level, Knoxville, TN 37918-3039 |
| Rachel W. Richards | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Marissa N Turner | Physician Assistant | Summit Medical Group, Pllc | 603 Smithview Dr, Maryville, TN 37803-6100 |
| Street Address |
2001 LAUREL AVE |
| City | KNOXVILLE |
| State | TN |
| Zip | 37916-1810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C Texada | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Michael R Liske | Pediatric Medicine | East Tennessee Pediatric Cardiology, P.C. | 2001 Laurel Ave, Suite 4, Knoxville, TN 37916-1810 |
| Scott A Wegryn | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Guy R Barat | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Samuel H Feaster | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| William L Johnson | Orthopedic Surgery | Blount Orthopaedic Associates Pa | 2001 Laurel Ave, Suite 402, Knoxville, TN 37916-1880 |
| Hejung Kim | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Naseemul Haq Siddiqi | Nephrology | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1872 | |
| Robert H Santee | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| James Burkhart | Orthopedic Surgery | 2001 Laurel Ave, Suite 601, Knoxville, TN 37916-1826 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan C Brumbelow | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Tennille J Kent | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Donald T Ellenburg | Allergy/immunology | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Todd Hollibush | Nurse Practitioner | Wellness Solutions Geriatrics, Pllc | 2120 Highland Ave, Knoxville, TN 37916-1112 |
| Guy D Clark | Emergency Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Kelly C Cooper | Preventative Medicine | Revida Recovery Centers PC | 2001 Highland Ave, Knoxville, TN 37916-1217 |
| Britton K Woodward | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Donovan L Yamada | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Andrew B Conrad | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Paul D Campbell | Diagnostic Radiology | Vista Radiology, PC | 2001 Laurel Ave, N304, Knoxville, TN 37916-1810 |
| Find all physicians in zip 37916 | |||
| City | KNOXVILLE |
| Zip Code | 37916 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KNOXVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth 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.