GARY S WALLACH DPM PA NPI 1013020924

NPI Information

NPI: 1013020924
Provider Name: GARY S WALLACH DPM PA
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
2737 E OAKLAND PARK BLVD
FT LAUDERDALE, FL
ZIP 33306
Phone: (954) 561-3338
Get Directions

GARY S WALLACH DPM PA is a foot surgery podiatrist in Ft Lauderdale, FL. GARY S WALLACH DPM PA NPI is 1013020924. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2737 E OAKLAND PARK BLVD
FT LAUDERDALE, FL
ZIP 33306-641
Phone: (954) 561-3338
Fax: (954) 566-3051

The provider's authorized official is Gary S Wallach .
The authorized official title is President and has the following contact phone number (954) 561-3338.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 1/16/2013.

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	213ES0131X	Podiatrist	Foot Surgery		FLORIDA	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	DN9665	OTHER	FLORIDA	RAILROAD MEDICARE
2	T84653	MEDICARE UPIN	FLORIDA
3	K7141	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	CORP #
4	041067500	MEDICAID	FLORIDA
5	1241950001	MEDICARE NSC	FLORIDA

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

NPI Synchronization or Removal

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