Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RYAN MICHAEL WALLACE HEALTH SERVICES TECH
NPI 1003891920
Emergency Medical Technician, Basic in Buzzards Bay, MA

Active since December 14, 2005
5201 LEE RD, BUZZARDS BAY, MA 02542(508) 968-6572(508) 968-6581 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryan Michael Wallace Health Services Tech NPPES

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

MR. RYAN MICHAEL WALLACE HEALTH SERVICES TECH (NPI 1003891920) is an individual emergency medical technician, basic provider in Buzzards Bay, Massachusetts, licensed in California (B1552861) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1003891920
Entity TypeIndividualMale
Primary Taxonomy146N00000X
Provider Legal NameMR. RYAN MICHAEL WALLACECredential: HEALTH SERVICES TECH
Location Address5201 LEE RDBuzzards Bay, MA 02542-1313
Mailing Address5425 Carpenter Ave, Apt ABuzzards Bay, MA 02542-1587 · (508) 968-6572 · Fax (508) 968-6581
Fax(508) 968-6581
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1003891920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License Licensed in CA · B1552861
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
5201 LEE RD, Buzzards Bay, MA 02542

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.

Clinic/Center
5201 LEE RD
BUZZARDS BAY, MA 02542
Technician, Other
5201 LEE RD
BUZZARDS BAY, MA 02542
Clinic/Center (Military/U.S. Coast Guard Outpatient)
5201 LEE RD
BUZZARDS BAY, MA 02542
Military Health Care Provider
5201 LEE RD
BUZZARDS BAY, MA 02542
Technician, Other
5201 LEE RD
BUZZARDS BAY, MA 02542
Emergency Medical Technician, Basic
5201 LEE RD
BUZZARDS BAY, MA 02542
Military Health Care Provider (Independent Duty Corpsman)
5201 LEE RD
BUZZARDS BAY, MA 02542
Clinic/Center
5201 LEE RD
BUZZARDS BAY, MA 02542

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 Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1003891920. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Ryan Wallace located?

Ryan Wallace practices at 5201 Lee Rd, Buzzards Bay, MA 02542. The listed phone number is (508) 968-6572.

What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.