IndividualActive
Wayne Wallace, MD
NPI 1639175292 · Family Medicine Physician · Atchison, KS
Wayne Wallace, MD is a Family Medicine Physician provider in Atchison, KS (NPI 1639175292).
Provider details
- NPI number
- 1639175292
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0413701 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
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
810 Raven Hill Drive
Atchison, KS 66002-1401
Phone: (913) 367-6689
Fax: (913) 360-5837
Approximate (ZIP-level) locationGet directions
Mailing address
810 Raven Hill Drive
Atchison, KS 66002-1243
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2010-01-28
Frequently asked questions
- What is Wayne Wallace's NPI number?
- Wayne Wallace's National Provider Identifier (NPI) is 1639175292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wayne Wallace's specialty?
- Wayne Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wayne Wallace located?
- Wayne Wallace's practice location on file with NPPES is 810 Raven Hill Drive, Atchison, KS 66002-1401.
- What is Wayne Wallace's phone number?
- The practice phone number listed in the NPPES registry for Wayne Wallace is (913) 367-6689.
- Is Wayne Wallace's NPI active?
- Yes — Wayne Wallace's NPI (1639175292) is active in the NPPES registry as of the last update on 2010-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.