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STEPHEN WALLACE MD NPI 1851379119


NPI Information

NPI: 1851379119
Provider Name: STEPHEN WALLACE, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1200 COLLEGE DR
ROCK SPRINGS, WY
ZIP 82901
Phone: (307) 362-3711
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Stephen Wallace, MD is an emergency medicine in Rock Springs, WY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Stephen Wallace, MD NPI is 1851379119. 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:

1200 COLLEGE DR
ROCK SPRINGS, WY
ZIP 82901-868
Phone: (307) 362-3711
Fax: (307) 352-8178

The NPI 1851379119 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 1 view, front (HCPCS:71010)

The enumeration date for this NPI number is 1/6/2006 and was last updated on 5/6/2008.


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
1207P00000XEmergency MedicineM8716IDAHONo
2207P00000XEmergency Medicine6690AWYOMINGYes

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
121063MEDICARE PINWYOMING
2H63916MEDICARE UPIN
3P00395688MEDICARE PINWYOMING
4605960009OTHERWYOMINGFBL
5314686OTHERWYOMINGBSWY
6806470900MEDICAIDIDAHO
71110121MEDICARE PINIDAHO
858024OTHERIDAHOBLUE CROSS OF ID

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.