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MARK WALLACE
NPI 1093501801
Case Manager/Care Coordinator in Oklahoma City, OK

Active since April 17, 2025
1510 NW 18TH ST, OKLAHOMA CITY, OK 73106(845) 413-9271 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Wallace NPPES

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

MARK WALLACE (NPI 1093501801) is an individual case manager/care coordinator provider in Oklahoma City, Oklahoma and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093501801
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMARK WALLACE
Location Address1510 NW 18TH STOklahoma City, OK 73106-4214
Mailing Address1510 Nw 18th StOklahoma City, OK 73106-4214 · (845) 413-9271
Phone(845) 413-9271
Sole ProprietorYes
Enumeration DateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1093501801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1510 NW 18TH ST, Oklahoma City, OK 73106
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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 Mark Wallace's NPI number?

The NPI number for Mark Wallace is 1093501801. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Mark Wallace located?

Mark Wallace practices at 1510 NW 18th St, Oklahoma City, OK 73106. The listed phone number is (845) 413-9271.

What is Mark Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Mark Wallace was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.