Thomas Everett Wallace in Lexington - Critical Care Medicine
Thomas Everett Wallace - NPI 1700822822
Thomas Everett Wallace is a Critical Care Medicine in Lexington, Kentucky. Thomas Everett Wallace practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Thomas Everett Wallace is 1700822822. The last update date is 2021-11-02.
Thomas Everett Wallace's current location address is 740 S Limestone, Lexington, Kentucky. You can contact this provider via phone number 8593235045. The mailing address for Thomas Everett Wallace is 740 S Limestone, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Everett Wallace |
|---|---|
| Address | 740 S Limestone, Lexington, Kentucky |
| Phone Number | 8593235045 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700822822 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 740 S Limestone |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405360284 |
| Phone Number | 8593235045 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | MD23936 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33270961 | TN | -- | |
| 4123936 | TN | BCBS OF TENNESSEE | |
| 4158379 | TN | BLUE CROSS | |
| 201256750 | IN | -- | |
| P00317082 | TN | RAILROAD MEDICARE | |
| 3327097 | TN | -- | |
| 30707611 | TN | -- |
Post Comment/ Review Below
What is the Thomas Everett Wallace's 1700822822?
The Thomas Everett Wallace's NPI (National Provider Identifier) Number is 1700822822. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Thomas Everett Wallace?
The Thomas Everett Wallace is situated at 740 S Limestone, in the city of Lexington, state of KY, with the zip code 405360284.
What is Thomas Everett Wallace's area of expertise and its corresponding taxonomy classification?
The Thomas Everett Wallace's field of specialization is Critical Care Medicine, and it falls under the taxonomy code 207Rc0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1700822822 to Thomas Everett Wallace?
The Thomas Everett Wallace received its 1700822822 assignment from the Centers for Medicare & Medicaid Services on 2006-06-20.
When was the information related to Thomas Everett Wallace most recently updated or refreshed?
The details pertaining to the Thomas Everett Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-02.
NPI Number: 1336142389
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