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MR. TIMOTHY THOMAS WALLACE JR. RN
NPI 1003072414
Registered Nurse - Psychiatric/Mental Health in Brecksville, OH

Active since August 05, 2008
10000 BRECKSVILLE RD, BRECKSVILLE, OH 44141(440) 526-3030 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Thomas Wallace Jr. Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY THOMAS WALLACE JR. RN (NPI 1003072414) is an individual psychiatric/mental health provider in Brecksville, Ohio, licensed in Ohio (RN295020) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1003072414
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameMR. TIMOTHY THOMAS WALLACE JR.Credential: RN
Location Address10000 BRECKSVILLE RDBrecksville, OH 44141-3204
Mailing Address10000 Brecksville RdBrecksville, OH 44141-3204 · (440) 526-3030
Phone(440) 526-3030
Sole ProprietorNo
Enumeration DateAugust 5, 2008
✔ NPI 1003072414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OH · RN295020
10000 BRECKSVILLE RD, Brecksville, OH 44141
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SANDRA ARNETTA SCHURDELL NP
Nurse Practitioner (Adult Health)
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
MR. MICHAEL EDWARD COLLETT RPH
Pharmacist (Geriatric)
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-2020
JOHN F OSOWSKI RPH
Pharmacist
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
KEVAN MCCUTCHEON PH.D.
Psychologist (Clinical)
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
DR. VINCENT LEE DRIGGS O.D.
Optometrist
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
DR. PATRIA GUTAY GERARDO MD
Internal Medicine (Geriatric Medicine)
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
DR. EDGARDO PADIN-RIVERA PH.D.
Psychologist
10000 BRECKSVILLE RD, VA MEDICAL CENTER 116B(B)
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030
MR. DONALD CHARLES WILLETT PHARMACIST
Pharmacist
10000 BRECKSVILLE RD
BRECKSVILLE, OH 44141
Cuyahoga County (440) 526-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Wallace's NPI number?

The NPI number for Timothy Wallace is 1003072414. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Timothy Wallace located?

Timothy Wallace practices at 10000 Brecksville Rd, Brecksville, OH 44141. The listed phone number is (440) 526-3030.

What is Timothy Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Timothy Wallace was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.