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DR. JAMES HOWARD WALLACE M.D. NPI 1881794162


NPI Information

NPI: 1881794162
Provider Name: DR. JAMES HOWARD WALLACE, M.D.
Classification: Urology - 208800000X
Entity Type: Individual
Organization: ANDERSON PHYSICIAN ALLIANCE INC

PECOS Registration: Yes

Address:
1600 22ND AVE FL 3
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-1055
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DR. James Howard Wallace, M.D. is an urology in Meridian, MS with 12 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. James Howard Wallace, M.D. NPI is 1881794162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1600 22ND AVE FL 3
MERIDIAN, MS
ZIP 39301
Phone: (601) 693-1055
Fax: (601) 482-5312

The NPI 1881794162 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 enumeration date for this NPI number is 9/25/2006 and was last updated on 5/18/2018.


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
1208600000XSurgeryT-2618MISSISSIPPINo
2208800000XUrology25034MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T-2618OTHERMISSISSIPPISTATE MEDICAL BOARD
2AU5009697-2105OTHERMISSISSIPPIDEA NUMBER:
3G13318MEDICAIDSOUTH CAROLINA
4487562499AMEDICAIDGEORGIA
508128741MEDICAIDMISSISSIPPI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.