OrganizationActive
Wallace Physician Services LLC
NPI 1144527870 · Internal Medicine Physician · Cincinnati, OH
Provider details
- NPI number
- 1144527870
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Waymon Wallace, President(513) 674-9601
- License
- 35-076674 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1577 Goodman Ave Ste a
Cincinnati, OH 45224-1044
Phone: (513) 403-3762
Fax: (513) 521-6403
Street-level locationGet directions
Mailing address
Po Box 40535
Cincinnati, OH 45240-0535
Additional practice locations (1)
- 11414 Odessa CtCincinnati, OH 45240-2847Phone: (859) 384-9045Fax: (859) 212-0949
Registry dates
- Enumerated
- 2011-02-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.