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SHANNON LEIGH WALLACE M.D. NPI 1205102092


NPI Information

NPI: 1205102092
Provider Name: SHANNON LEIGH WALLACE, M.D.
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Individual

Specialization: Female Pelvic Medicine and Reconstructive Surgery

PECOS Registration: Yes

Address:
CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH
ZIP 44195
Phone: (216) 636-8926
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Shannon Leigh Wallace, M.D. is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Cleveland, OH with 12 years of experience. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Shannon Leigh Wallace, M.D. NPI is 1205102092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduation Year:2012

The provider's business location address is:

CLEVELAND CLINIC 9500 EUCLID AVENUE
CLEVELAND, OH
ZIP 44195-705
Phone: (216) 636-8926

The NPI 1205102092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of temporary bladder catheter (HCPCS:51701)

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryA149644CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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