Theodore Wallace, PA-C
NPI 1609931393 · Physician Assistant · Tacoma, WA
Theodore Wallace, PA-C is a Physician Assistant provider in Tacoma, WA (NPI 1609931393).
Provider details
- NPI number
- 1609931393
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA100003556 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
- 2006-12-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Wallace's NPI number?
- Theodore Wallace's National Provider Identifier (NPI) is 1609931393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Wallace's specialty?
- Theodore Wallace is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Wallace located?
- Theodore Wallace's practice location on file with NPPES is Madigan Army Medical Ctr, Tacoma, WA 98431-0001.
- What is Theodore Wallace's phone number?
- The practice phone number listed in the NPPES registry for Theodore Wallace is (253) 968-5161.
- Is Theodore Wallace's NPI active?
- Yes — Theodore Wallace's NPI (1609931393) 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.