Douglas C Wallace (NPI# 1063451144, PAC ID# 9032116512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063451144 |
| PAC ID by PECOS | 9032116512 |
| Professional Enrollment ID | I20061025000509 |
| Full Name | Douglas C Wallace |
| Organization Legal Name | AMERICAN HEALTH NETWORK OF OHIO LLC |
| Address |
3154 Park St Grove City OH 43123-3222 |
| Phone Number | 6148750011 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173427721 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360006 | RIVERSIDE METHODIST HOSPITAL |
| 360035 | MOUNT CARMEL WEST |
| 360017 | GRANT MEDICAL CENTER |
| 360152 | DOCTORS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3154 Park St, Grove City, OH 43123-3222 | 6148750011 | AMERICAN HEALTH NETWORK OF OHIO LLC |
| Organization Legal Name | AMERICAN HEALTH NETWORK OF OHIO LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pooja Lahoti | Family Medicine | American Health Network of Ohio LLC | 550 W Central Ave, Delaware, OH 43015-1421 |
| Angela J Bhojraj | Family Medicine | American Health Network of Ohio LLC | 3823 Trueman Ct, Hilliard, OH 43026-2496 |
| David M Lamport | Physician Assistant | American Health Network of Ohio LLC | 122 Columbus Rd, Fredericktown, OH 43019-1266 |
| David J Tomchak | Family Medicine | American Health Network of Ohio LLC | 227 E Loudon Ave, Loudonville, OH 44842-9662 |
| Andrew Kowalewsky Jr. | Family Medicine | American Health Network of Ohio LLC | 1194 Old Henderson Rd, Suite A, Columbus, OH 43220-3694 |
| Stephen Lee Schuler | Pediatric Medicine | American Health Network of Ohio LLC | 104 N Union St, B, Delaware, OH 43015-1706 |
| Baljit S Rangi | Family Medicine | American Health Network of Ohio LLC | 60 Westerview Dr, Westerville, OH 43081-2682 |
| Wendy F Currier | Nurse Practitioner | American Health Network of Ohio LLC | 3180 E Broad St, Columbus, OH 43209-2055 |
| Elizabeth A Boggs | Nurse Practitioner | American Health Network of Ohio LLC | 1220 Yauger Rd, Mount Vernon, OH 43050-9233 |
| Melvin W Thomas | Family Medicine | American Health Network of Ohio LLC | 4278 Indianola Ave, Columbus, OH 43214-2806 |
| Street Address |
3154 PARK ST |
| City | GROVE CITY |
| State | OH |
| Zip | 43123-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Janczak | Family Medicine | American Health Network of Ohio LLC | 3154 Park St, Grove City, OH 43123-3222 |
| Francisco C Buendia Jr. | Family Medicine | American Health Network of Ohio LLC | 3154 Park St, Grove City, OH 43123-3222 |
| Laurie S Mccloud | Nurse Practitioner | American Health Network of Ohio LLC | 3154 Park St, Grove City, OH 43123-3222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Welcher | Physical Therapy | Ohrh, LLC | 3148 Broadway, Suite 302, Grove City, OH 43123-1781 |
| Christopher Love | Chiropractic | 3590 Hoover Rd, Grove City, OH 43123-1807 | |
| Leslie A Rapsawich | Chiropractic | Wieging Physical Medicine LLC | 3435 Farm Bank Way, Grove City, OH 43123-1974 |
| Ryan Ohl | Chiropractic | Wieging Physical Medicine LLC | 3435 Farm Bank Way, Grove City, OH 43123-1974 |
| Carrie A Jones | Physician Assistant | Wieging Physical Medicine LLC | 3435 Farm Bank Way, Grove City, OH 43123-1974 |
| Thomas Schindler | Physical Therapy | Wieging Physical Medicine LLC | 3435 Farm Bank Way, Grove City, OH 43123-1974 |
| Jeffery D Wieging | Chiropractic | Wieging Physical Medicine LLC | 3435 Farm Bank Way, Grove City, OH 43123-1974 |
| Elizabeth A Myer | Nurse Practitioner | Mount Carmel Healthproviders Inc | 3636 Broadway, Grove City, OH 43123-2202 |
| Vijay Jain | Family Practice | Mount Carmel Healthproviders Inc | 3636 Broadway, Grove City, OH 43123-2202 |
| Brenda S Calhoun | Nurse Practitioner | Mount Carmel Healthproviders Inc | 3636 Broadway, Grove City, OH 43123-2202 |
| Find all physicians in zip 43123 | |||
| City | GROVE CITY |
| Zip Code | 43123 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GROVE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Douglas C 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.