Douglas Charles Wallace in Lafayette - Thoracic Surgery (cardiothoracic Vascular Surgery)
Douglas Charles Wallace - NPI 1851470033
Douglas Charles Wallace is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Lafayette, Indiana. Douglas Charles Wallace practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Douglas Charles Wallace is 1851470033. The last update date is 2012-12-19.
Douglas Charles Wallace's current location address is 3900 St Francis Way, Lafayette, Indiana. You can contact this provider via phone number 7654467981 and fax number 7654467982. The mailing address for Douglas Charles Wallace is 3900 St Francis Way, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Charles Wallace |
|---|---|
| Address | 3900 St Francis Way, Lafayette, Indiana |
| Phone Number | 7654467981 |
| Fax Number | 7654467982 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1851470033 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2012-12-19 |
Provider Mailing Address Detail
| Address | 3900 St Francis Way |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479054923 |
| Phone Number | 7654467981 |
| Fax Number | 7654467982 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | G66727 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36112410 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Douglas Charles Wallace by the Centers for Medicare & Medicaid Services?
The Douglas Charles Wallace has been issued the NPI (National Provider Identifier) 1851470033. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Douglas Charles Wallace is located?
The Douglas Charles Wallace is situated at the following address: 3900 St Francis Way, Lafayette, IN, 479054923.
What is Douglas Charles Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas Charles Wallace is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy classification code for this specialized field is 208G00000X.
On what date did the Douglas Charles Wallace receive its 1851470033 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Charles Wallace was assigned its 1851470033 by the Centers for Medicare & Medicaid Services on 2006-11-06.
As of what date was the information pertaining to Douglas Charles Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas Charles Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-19.