Richard G Wallis MD PA
NPI 1801169412 · Anesthesiology Physician · Jacksonville, FL
Richard G Wallis MD PA is a Anesthesiology Physician organization in Jacksonville, FL (NPI 1801169412).
Provider details
- NPI number
- 1801169412
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Wallis, President(904) 421-2119
- License
- ME37752 (FL)
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
14 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
- 2012-02-13
- Last updated
- 2012-02-13
Frequently asked questions
- What is Richard G Wallis MD PA's NPI number?
- Richard G Wallis MD PA's National Provider Identifier (NPI) is 1801169412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Richard G Wallis MD PA?
- Richard G Wallis MD PA is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Richard G Wallis MD PA located?
- Richard G Wallis MD PA's practice location on file with NPPES is 1 Shircliff Way, Jacksonville, FL 32204-4748.
- What is Richard G Wallis MD PA's phone number?
- The practice phone number listed in the NPPES registry for Richard G Wallis MD PA is (904) 421-2119.
- Who is the authorized official for Richard G Wallis MD PA?
- The authorized official listed on Richard G Wallis MD PA's NPPES record is Richard Wallis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Richard G Wallis MD PA's NPI active?
- Yes — Richard G Wallis MD PA's NPI (1801169412) is active in the NPPES registry as of the last update on 2012-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.