WILLIAM R WALLACE MD NPI 1447234703

NPI Information

NPI: 1447234703
Provider Name: WILLIAM R WALLACE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2600 6TH ST SW
RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH
ZIP 44710
Phone: (330) 363-2842
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William R Wallace, MD is a diagnostic radiology radiology in Canton, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. William R Wallace, MD NPI is 1447234703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2600 6TH ST SW
RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH
ZIP 44710-702
Phone: (330) 363-2842
Fax: (330) 580-5536

The enumeration date for this NPI number is 12/1/2005 and was last updated on 1/5/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	35 044677	OHIO	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	35 044677	OHIO	No
3	2085R0202X	Radiology	Diagnostic Radiology	35 044677	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0558178	MEDICAID	OHIO
2	0560601	MEDICARE PIN	OHIO
3	C46432	MEDICARE UPIN	OHIO
4	P00417325	OTHER	OHIO	RAILROAD MEDICARE

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

NPI Synchronization or Removal

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