DR. ERIC WALLACE MD NPI 1154434488

NPI Information

  • NPI: 1154434488
  • Provider Name: DR. ERIC WALLACE, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 143 LONGWATER DR
    NORWELL, MA
    ZIP 02061
  • Phone: (781) 878-5200

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NPI Details

DR. Eric Wallace, MD is a family medicine in Norwell, MA with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Eric Wallace, MD NPI is 1154434488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

143 LONGWATER DR
NORWELL, MA
ZIP 02061-683
Phone: (781) 878-5200
Fax: (781) 878-6750

The NPI 1154434488 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for influenza virus (HCPCS:87400)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Bacterial colony count, urine (HCPCS:87086)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Screening test for pathogenic organisms (HCPCS:87081)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Liver function blood test panel (HCPCS:80076)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)

The enumeration date for this NPI number is 8/17/2006 and was last updated on 7/23/2024.

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
1207Q00000XFamily Medicine243033MASSACHUSETTSYes

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
104-2297845OTHERUNITED HEALTH CARE
21154434488OTHERMASSACHUSETTSTMP
31154434488OTHERTUFTS HEALTH PLAN
4042297845OTHERMASSACHUSETTSMULTI-PLAN
53748610OTHERMASSACHUSETTSCIGNA
6AA387771OTHERMASSACHUSETTSHARVARD PILGRIM
7SS0165OTHERMASSACHUSETTSBCBSMA
81154434488OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
91154434488MEDICAIDMASSACHUSETTS
10042297845OTHERTRICARE
11042297845OTHERHCVM
127087919OTHERMASSACHUSETTSAETNA
131154434488OTHERFALLON HEALTH CARE

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: 11/21/2025

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