Wallace Urology Inc
NPI 1316496664ActiveOrganization· Urology· Memphis, TN
Urology in Memphis, Tennessee, registered in NPPES in September 2016. The authorized official on file is Charles Russell Wallace, M.D., Medical Doctor.
Overview
| NPI | 1316496664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 28, 2016 |
| Last updated in NPPES | Sep 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 015359 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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