DR. RICHARD AUSTIN WALLACE MD
NPI 1013957034
Otolaryngology - Otology & Neurotology in Charleston, WV

Active since June 07, 2006
1306 KANAWHA BLVD E, CHARLESTON, WV 25301(304) 343-4371(304) 353-0215 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Richard Austin Wallace Md NPPES

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

DR. RICHARD AUSTIN WALLACE MD (NPI 1013957034) is an individual otology & neurotology provider in Charleston, West Virginia, licensed in West Virginia (WV11648) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013957034
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. RICHARD AUSTIN WALLACECredential: MD
Location Address1306 KANAWHA BLVD ECharleston, WV 25301-3001
Mailing Address1306 Kanawha Blvd ECharleston, WV 25301-3001 · (304) 343-4371 · Fax (304) 353-0215
Fax(304) 353-0215
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateDecember 12, 2012
NPI 1013957034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in WV · WV11648
Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

1306 KANAWHA BLVD E, Charleston, WV 25301

Other Identifiers 5

Medicare PIN0493524WV
Other1013957034WV · Npi
Medicaid010107500WV
Medicare UPINB42591WV
Medicare PIN0493522WV

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.

Plastic Surgery
1306 KANAWHA BLVD E, SUITE 100
CHARLESTON, WV 25301
Anesthesiology
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Eyewear Supplier
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
General Acute Care Hospital
1306 KANAWHA BLVD E
CHARLESTON, WV 25301
Radiology (Diagnostic Radiology)
1306 KANAWHA BLVD E, BUILDING 2
CHARLESTON, WV 25301
Surgery (Plastic and Reconstructive Surgery)
1306 KANAWHA BLVD E, SUITE 100
CHARLESTON, WV 25301
Surgery
1306 KANAWHA BLVD E
CHARLESTON, WV 25301

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 Richard Wallace's NPI number?

The NPI number for Richard Wallace is 1013957034. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Richard Wallace located?

Richard Wallace practices at 1306 Kanawha Blvd E, Charleston, WV 25301. The listed phone number is (304) 343-4371.

What is Richard Wallace's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

When was this NPI record last updated?

The NPPES record for Richard Wallace was last updated on December 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.