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JAMIE RUSSELLE WALLACE MD
NPI 1023066354
Pediatrics in Scottsdale, AZ

Active since May 05, 2006
10752 N 89TH PL, #126, SCOTTSDALE, AZ 85260(480) 860-1161(480) 860-6561 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 2, 2017 (2 updates tracked since 2017).

About Jamie Russelle Wallace Md NPPES

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

JAMIE RUSSELLE WALLACE MD (NPI 1023066354) is an individual pediatrics provider in Scottsdale, Arizona, licensed in Arizona (12810) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1023066354
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJAMIE RUSSELLE WALLACECredential: MD
Location Address10752 N 89TH PL, #126Scottsdale, AZ 85260
Mailing Address10752 N 89th Pl, #126Scottsdale, AZ 85260 · (480) 860-1161 · Fax (480) 860-6561
Phone(480) 860-1161
Fax(480) 860-6561
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1023066354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 12810
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10752 N 89TH PL, Scottsdale, AZ 85260
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Other Identifiers 1

Medicaid226143-001AZ

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.

RICHARD J SETTLES, DO, PC
Family Medicine
10752 N 89TH PL, SUITE 218
SCOTTSDALE, AZ 85260
Maricopa County (480) 314-9700
DR. RICHARD W MOOS MD PC
Obstetrics & Gynecology
10752 N 89TH PL, FF 118
SCOTTSDALE, AZ 85260
Maricopa County (480) 391-3900
AMY D GRIMES PT
Physical Therapist
10752 N 89TH PL, SUITE C-134
SCOTTSDALE, AZ 85260
Maricopa County (480) 860-4411
SABRA J HOUSE LCSW
Social Worker (Clinical)
10752 N 89TH PL, SUITE 113
SCOTTSDALE, AZ 85260
Maricopa County (480) 451-0819
LIGHTHOUSE CENTER INC.
Social Worker (Clinical)
10752 N 89TH PL, SUITE 113
SCOTTSDALE, AZ 85260
Maricopa County (480) 451-0819
DR. MITCHELL ROEFE MD
Psychiatry & Neurology (Psychiatry)
10752 N 89TH PL, 208
SCOTTSDALE, AZ 85260
Maricopa County (480) 661-0122
DR. GLEN ELDRED DOYON D.M.D.
Dentist (Endodontics)
10752 N 89TH PL, 117
SCOTTSDALE, AZ 85260
Maricopa County (480) 767-8888
CBBL ENTREPRISES LLC
Home Health
10752 N 89TH PL, SUITE 232
SCOTTSDALE, AZ 85260
Maricopa County (847) 909-7042

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 Jamie Wallace's NPI number?

The NPI number for Jamie Wallace is 1023066354. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jamie Wallace located?

Jamie Wallace practices at 10752 N 89th Pl #126, Scottsdale, AZ 85260. The listed phone number is (480) 860-1161.

What is Jamie Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jamie Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.