James E Wallace Jr. (NPI# 1063464006, PAC ID# 6901854264) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063464006 |
| PAC ID by PECOS | 6901854264 |
| Professional Enrollment ID | I20050809000827 |
| Full Name | James E Wallace Jr. |
| Organization Legal Name | RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC |
| Address |
201 4th St 1a Alexandria LA 71301-8421 |
| Phone Number | 8163637303 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3577646280 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190026 | RAPIDES REGIONAL MEDICAL CENTER |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 4th St, 1a, Alexandria, LA 71301-8421 | 8163637303 | RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC |
| 211 4th St, Alexandria, LA 71301-8421 | 3187697640 | RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RAPIDES REGIONAL PHYSICIAN GROUP PRIMARY CARE, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline A Schexnyder | Nurse Practitioner | Rapides Regional Physician Group Primary Care, LLC | 1610 Water St, Lecompte, LA 71346-4734 |
| Alejandro Perez | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 3516 N Blvd, Alexandria, LA 71301-3613 |
| Farley K Tumbaco | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3200 Monroe Hwy 105, Pineville, LA 71360-4294 |
| Ravinderjit S Brar | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3425 N Blvd, Alexandria, LA 71301 |
| Catherine A Jerez | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| Clois D Slaughter | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| Willard W Beard | Physician Assistant | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| Sunil A Bharwani | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| Charles R Joiner | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 3516 N Blvd, Alexandria, LA 71301-3613 |
| Street Address |
201 4TH ST 1A |
| City | ALEXANDRIA |
| State | LA |
| Zip | 71301-8421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Barton | Internal Medicine | 201 4th St, 3d, Alexandria, LA 71301-8421 | |
| Daniel R Oas | Orthopedic Surgery | Rapides Regional Physician Group, Specialty Care, LLC | 201 4th St, Suite 1d, Alexandria, LA 71301-8421 |
| Catherine A Jerez | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| William C Skakun | Orthopedic Surgery | Rapides Regional Physician Group, Specialty Care, LLC | 201 4th St, Suite 1d, Alexandria, LA 71301-8421 |
| Angela Denise Mccorvey | Nurse Practitioner | Rapides Regional Physician Group, Specialty Care, LLC | 201 4th St, Suite 5b, Alexandria, LA 71301-8421 |
| George B Ingrish | Dermatology | Dermatology and Skin Surgery Clinic | 201 4th St, Suite 30127, Alexandria, LA 71301-8421 |
| Clois D Slaughter | Family Medicine | Rapides Regional Physician Group Primary Care, LLC | 201 4th St, 1a, Alexandria, LA 71301-8421 |
| Mitul Natu Patel | Nephrology | Lafayette Kidney Care LLC | 201 4th St, Suite 5a, Alexandria, LA 71301-8421 |
| Katherine R Carter | Nurse Practitioner | Rapides Regional Physician Group, Specialty Care, LLC | 201 4th St, Suite 1d, Alexandria, LA 71301-8421 |
| Daniel Philip Deasis | Orthopedic Surgery | Rapides Regional Physician Group, Specialty Care, LLC | 201 4th St, Suite 1d, Alexandria, LA 71301-8421 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderjit S Brar | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3425 N Blvd, Alexandria, LA 71301 |
| David J Guillot | Family Medicine | 6410 Masonic Dr, Alexandria, LA 71301-2319 | |
| Elizabeth S Taylor | Psychiatry | Compass Rehab, LLC | 6410 Masonic Dr, Alexandria, LA 71301-2319 |
| Vincent A Escandell | Psychologist, Clinical | 6016 Navaho Trail, Alexandria, LA 71301-2735 | |
| Roy R Strickland | Chiropractic | 2385 S Macarthur Dr, Suite A, Alexandria, LA 71301-3062 | |
| Blaine M Broussard | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Zack Terry Buckalew Iii | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kaitlin D Miller | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Daniel Renois | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ernesto J Garcia-ramos | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Find all physicians in zip 71301 | |||
| City | ALEXANDRIA |
| Zip Code | 71301 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALEXANDRIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James E Wallace Jr..
| 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.