Diane S Wallace
FOX CHASE EMERGENCY PHYSICIANS LLC


Address: 35750 Us 19, Palm Harbor, FL 34684-1703
Phone: 7277898420

Diane S Wallace (NPI# 1194764647, PAC ID# 8123120656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1194764647
PAC ID by PECOS 8123120656
Professional Enrollment ID I20160112002072
Full Name Diane S Wallace
Organization Legal Name FOX CHASE EMERGENCY PHYSICIANS LLC
Address 35750 Us 19
Palm Harbor
FL 34684-1703
Phone Number 7277898420
Gender F
Credential MD
Medical School UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year 1995
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 1355638404
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100191 MEDICAL CENTER OF TRINITY

Other Locations

Address Phone Organization
35750 Us 19, Palm Harbor, FL 34684-1703 7277898420 FOX CHASE EMERGENCY PHYSICIANS LLC

Organization Information

Organization Legal Name FOX CHASE EMERGENCY PHYSICIANS LLC
Physicians 8

Physicians with the same organization

Name Specialty Organization Address
Bryce B Shedlock Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Thaer Mf Abukhalil Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Thomas F Payton Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Christopher M Scipione Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Ebrahim H Karkevandian Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Scott T Rouse Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Kenneth M Degraaf Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703

Office Location

Street Address 35750 US 19
City PALM HARBOR
State FL
Zip 34684-1703

Physicians in the same location

Name Specialty Organization Address
Bryce B Shedlock Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Thaer Mf Abukhalil Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Thomas F Payton Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Christopher M Scipione Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Ebrahim H Karkevandian Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Scott T Rouse Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703
Kenneth M Degraaf Emergency Medicine Fox Chase Emergency Physicians LLC 35750 Us 19, Palm Harbor, FL 34684-1703

Physicians in the same zip code

Name Specialty Organization Address
George F Williams Iv Podiatry 34921 Us Hwy 19 N, Suite 400, Palm Harbor, FL 34684
Ananda Som Internal Medicine 30522 Us 19, Suite 109, Palm Harbor, FL 34684
Ronald Williams Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Brandon Adrian Taylor Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Brian Maiocco Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Andrew Maser Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Erin Zalta Physical Therapy Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Keri Ann Stablein Physical Therapy Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
John Gill Sullivan Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Scott L Brotherton Orthopedic Surgery Orthopedic Specialists 37026 Us Hwy 19 N, Palm Harbor, FL 34684-1109
Find all physicians in zip 34684

Competitor

Search similar physicians

City PALM HARBOR
Zip Code 34684
Specialty EMERGENCY MEDICINE
City + Specialty PALM HARBOR + EMERGENCY MEDICINE

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Dataset Information

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.

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