Wallace Medical Group
NPI 1942623939ActiveOrganization· Specialist· Chandler, AZ
Specialist in Chandler, Arizona, registered in NPPES in January 2014. The authorized official on file is Robert Wallace, BS, Chief Executive Officer.
Overview
| NPI | 1942623939 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2014 |
| Last updated in NPPES | Jan 27, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Chandler
- 1235343278
- 1386673416
- 1578515862
- 1720085327
- 1598819443
- 1952492878
- 1023531332
- 1033310669
- 1053373811
- 1124357439
- 1134194749
- 1134320757
All 54 Specialist providers in Chandler · All Specialist providers in Arizona