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SCOTT CHRISTOPHER WALLACE MD NPI 1558381822


NPI Information

NPI: 1558381822
Provider Name: SCOTT CHRISTOPHER WALLACE, MD
Classification: Anesthesiology - 207LP3000X
Entity Type: Individual

Specialization: Pediatric Anesthesiology

PECOS Registration: Yes

Address:
34800 BOB WILSON DR DEPT OF
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-8943
Get Directions

Scott Christopher Wallace, MD is a pediatric anesthesiology anesthesiology in San Diego, CA with 21 years of experience. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. Scott Christopher Wallace, MD NPI is 1558381822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2003

The provider's business location address is:

34800 BOB WILSON DR DEPT OF
SAN DIEGO, CA
ZIP 92134-112
Phone: (619) 532-8943

The NPI 1558381822 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 7/20/2006 and was last updated on 6/8/2023.


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
1207LP3000XAnesthesiologyPediatric AnesthesiologyA115766CALIFORNIAYes

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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