David Wallace, DO
NPI 1932193604ActiveIndividual· Anesthesiology· Draper, UT
Anesthesiology (DO) in Draper, Utah, trained at Michigan State University College of Osteopathic Medicine (class of 1986). Enrolled in Medicare as practitioner - anesthesiology and practitioner - anesthesiology.
Overview
| NPI | 1932193604 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 8, 2005 |
| Last updated in NPPES | Oct 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 272263-1205 | UT |
| Anesthesiology | 207L00000X | 5101010132 | MI |
| Anesthesiology | 207L00000X | 15448 | MS |
| Anesthesiology | 207L00000X | O-168 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (IN); Practitioner - Anesthesiology (UT) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Anesthesiology |
Medical group
- Associated Anesthesiologists of Fort Wayne PCAuburn, IN · 106 clinicians
Hospital affiliation
- Dupont Hospital LLCFort Wayne, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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