SCOTT ANDREW WALLACE M.D. NPI 1275809899

NPI Information

  • NPI: 1275809899
  • Provider Name: SCOTT ANDREW WALLACE, M.D.
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8901 WISCONSIN AVE BLDG 85T
    BETHESDA, MD
    ZIP 20889
  • Phone: (301) 295-0786

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NPI Details

Scott Andrew Wallace, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in Bethesda, MD. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Scott Andrew Wallace, M.D. NPI is 1275809899. 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:

8901 WISCONSIN AVE BLDG 85T
BETHESDA, MD
ZIP 20889-004
Phone: (301) 295-0786

The NPI 1275809899 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 3/28/2012 and was last updated on 10/3/2024.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineD76451MARYLANDYes

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: 3/30/2025

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