Sharon K. Wallace (NPI# 1629023239, PAC ID# 6406885979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629023239 |
| PAC ID by PECOS | 6406885979 |
| Professional Enrollment ID | I20090602000241 |
| Full Name | Sharon K. Wallace |
| Organization Legal Name | PERRY COUNTY HEALTH SYSTEM |
| Address |
434 N W St Perryville MO 63775-1359 |
| Phone Number | 5735472536 |
| Gender | F |
| Credential | MD |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1984 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961492079 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| 260110 | SOUTHEASTHEALTH |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 517 N Main St, Anna, IL 62906-1668 | 6188334511 | CAPE RADIOLOGY GROUP PC |
| 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 5736515543 | CAPE RADIOLOGY GROUP PC |
| 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 5733346071 | CAPE RADIOLOGY GROUP PC |
| 434 N W St, Perryville, MO 63775-1359 | 5735472536 | PERRY COUNTY HEALTH SYSTEM |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 16% |
| Organization Legal Name | PERRY COUNTY HEALTH SYSTEM |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald M Richmond | General Surgery | Perry County Health System | 206 Hospital Ln, Suite 204, Perryville, MO 63775-1382 |
| Mohammad Moaddabi Araghi | Internal Medicine | Perry County Health System | 212 Hospital Ln, Suite 101, Perryville, MO 63775-4204 |
| Karen Aromando Williams | Certified Registered Nurse Anesthetist (crna) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Jeffrey W Boss | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Craig A Frayer | Obstetrics/gynecology | Perry County Health System | 434 N W St, Perry County Memorial Hospital, Perryville, MO 63775-1359 |
| George A Pjura | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Michael E Thomas | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Cedric C Strange | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| William R Silliman | General Surgery | Perry County Health System | 206 Hospital Ln, Suite 204, Perryville, MO 63775-1382 |
| Ann M Pierce | Nurse Practitioner | Perry County Health System | 206 Hospital Ln, Perryville, MO 63775-1382 |
| Street Address |
434 N W ST |
| City | PERRYVILLE |
| State | MO |
| Zip | 63775-1359 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Aromando Williams | Certified Registered Nurse Anesthetist (crna) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Jeffrey W Boss | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Craig A Frayer | Obstetrics/gynecology | Perry County Health System | 434 N W St, Perry County Memorial Hospital, Perryville, MO 63775-1359 |
| George A Pjura | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Michael E Thomas | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Cedric C Strange | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Huan L Nguyen | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Gary Williams | Certified Registered Nurse Anesthetist (crna) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Michael J Stadnyk | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Christopher P Murdock | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Hoeckele | Chiropractic | 1516 Edgemont Blvd, Suite 100, Perryville, MO 63775-1262 | |
| Elizabeth A Morrow | Physician Assistant | Telemedico Physicians Sc | 430 N W St, Perry Oaks Manor, Perryville, MO 63775-1359 |
| Billy A Hammond | Cardiovascular Disease (cardiology) | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Andrew E West | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| David A Mueller | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Mark L Pfautsch | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Theodore R Swartz | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| James J Borders | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Jeffrey R Wichman | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Michael C Muzinich | Diagnostic Radiology | Perry County Health System | 434 N W St, Perryville, MO 63775-1359 |
| Find all physicians in zip 63775 | |||
| City | PERRYVILLE |
| Zip Code | 63775 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PERRYVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Sharon K. 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.