James W Wallace

MD | Pediatric Pulmonology | Male

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Complete Profile:

James W Wallace basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	James W Wallace
Credential :	MD
Gender :	Male

Business Address:

James W Wallace address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1600 W 22nd St Sioux Falls, SD, 57105-1521 United States
Phone Number :	605-312-1000
Fax Number :	605-312-1001

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1730135070
NPI Entity Type :	Individual
First Enrolment Date :	26 May, 2006
Last Updated On :	25 Mar, 2022

Medicare Participation:

James W Wallace participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941271456
Medicare Enrollment ID :	I20040805001108
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Medical School At Houston
Graduation Year :	1986
Accepts Medicare?	Yes. James W Wallace accepts medicare insurance.

Group Practice Association:

James W Wallace is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which James W Wallace is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Sanford Clinic	0244143824	232	1200 S Euclid Ave 104 Fam Med Snfrd Mb1 Sioux Falls, SD - 571050430 Ph: 6053287595	Yes
Sanford Clinic	0244143824	232	2905 5th St Rapid City, SD - 577017316 Ph: 6053121000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for James W Wallace are as mentioned. Primary taxonomy code for James W Wallace, MD is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	3549	SD
208000000X	Pediatrics	No	30538	IA
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	3549	SD

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 5074 Sioux Falls, SD, 57117-5074 United States
Phone Number :	605-328-6585
Fax Number :	605-328-6512

Business Location:

Patients can refer following map for directions to James W Wallace practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.