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Roy Wallace, PA
NPI 1134191885 · Physician Assistant · Tamc, HI
Roy Wallace, PA is a Physician Assistant provider in Tamc, HI (NPI 1134191885).
Provider details
- NPI number
- 1134191885
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Jarrett White Rd
Tamc, Personnel Division
Tamc, HI 96859-5001
Phone: (808) 433-1790
Street-level locationGet directions
Mailing address
784 Ringold St
Wahiawa, HI 96786-3857
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Roy Wallace's NPI number?
- Roy Wallace's National Provider Identifier (NPI) is 1134191885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Wallace's specialty?
- Roy Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roy Wallace located?
- Roy Wallace's practice location on file with NPPES is 1 Jarrett White Rd, Tamc, HI 96859-5001.
- What is Roy Wallace's phone number?
- The practice phone number listed in the NPPES registry for Roy Wallace is (808) 433-1790.
- Is Roy Wallace's NPI active?
- Yes — Roy Wallace's NPI (1134191885) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.