DR. HUGH J WALLACE MD NPI 1487624581

NPI Information

NPI: 1487624581
Provider Name: DR. HUGH J WALLACE, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
1010 BETHESDA CT
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-8800
Get Directions

DR. Hugh J Wallace, MD is a hematology and oncology internal medicine in Winston Salem, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Hugh J Wallace, MD NPI is 1487624581. 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:

1010 BETHESDA CT
WINSTON SALEM, NC
ZIP 27103-019
Phone: (336) 277-8800
Fax: (336) 277-8850

The enumeration date for this NPI number is 1/23/2006 and was last updated on 3/30/2011.

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	207RH0003X	Internal Medicine	Hematology & Oncology	9701639	NORTH CAROLINA	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	3131142	OTHER		AETNA HMO
2	G01331	MEDICARE UPIN
3	4652218	OTHER		AETNA PPO
4	3603374	OTHER		UNITED HEALTHCARE
5	P00031292	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE
6	006005403	MEDICAID	VIRGINIA
7	20464	OTHER		PARTNERS
8	10714	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
9	74692	OTHER		MEDCOST
10	2245595A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
11	8910714	MEDICAID	NORTH CAROLINA

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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