What is Michael Wallace's NPI number?

Michael Wallace's National Provider Identifier (NPI) is 1427216837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Wallace's specialty?

Michael Wallace is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Michael Wallace located?

Michael Wallace's practice location on file with NPPES is 620 John Paul Jones Cir, Portsmouth, VA 23708-2111.

What is Michael Wallace's phone number?

The practice phone number listed in the NPPES registry for Michael Wallace is (757) 953-6505.

Is Michael Wallace's NPI active?

Yes — Michael Wallace's NPI (1427216837) is active in the NPPES registry as of the last update on 2011-06-23.

IndividualActive

Michael Wallace, IDC

NPI 1427216837 · Independent Duty Corpsman · Portsmouth, VA

Michael Wallace, IDC is a Independent Duty Corpsman provider in Portsmouth, VA (NPI 1427216837).

Provider details

NPI number: 1427216837
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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

620 John Paul Jones Cir

Portsmouth, VA 23708-2111

Phone: (757) 953-6505

Street-level locationGet directions

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Mailing address