Wallace Plastic Surgery Group, PLLC
NPI 1497473557ActiveOrganization· Plastic Surgery· Memphis, TN
Plastic Surgery in Memphis, Tennessee, registered in NPPES in August 2022. The authorized official on file is Robert D. Wallace, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497473557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2022 |
| Last updated in NPPES | Aug 16, 2022 |
| Certified by provider | Aug 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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