Wallace Bruce Obenshain Cecilton Family Practice
NPI 1134261217 · Family Medicine Physician · Cecilton, MD
Wallace Bruce Obenshain Cecilton Family Practice is a Family Medicine Physician organization in Cecilton, MD (NPI 1134261217).
Provider details
- NPI number
- 1134261217
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Fields, Credentialing Coordinator(410) 398-4679
- License
- D0035779 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2008-06-12
Frequently asked questions
- What is Wallace Bruce Obenshain Cecilton Family Practice's NPI number?
- Wallace Bruce Obenshain Cecilton Family Practice's National Provider Identifier (NPI) is 1134261217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wallace Bruce Obenshain Cecilton Family Practice?
- Wallace Bruce Obenshain Cecilton Family Practice is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Bruce Obenshain Cecilton Family Practice located?
- Wallace Bruce Obenshain Cecilton Family Practice's practice location on file with NPPES is 251 Bohemia Ave, Cecilton, MD 21913.
- What is Wallace Bruce Obenshain Cecilton Family Practice's phone number?
- The practice phone number listed in the NPPES registry for Wallace Bruce Obenshain Cecilton Family Practice is (410) 275-8157.
- Who is the authorized official for Wallace Bruce Obenshain Cecilton Family Practice?
- The authorized official listed on Wallace Bruce Obenshain Cecilton Family Practice's NPPES record is Lisa Fields, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wallace Bruce Obenshain Cecilton Family Practice's NPI active?
- Yes — Wallace Bruce Obenshain Cecilton Family Practice's NPI (1134261217) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.