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DR. WALLACE WILSON MD
NPI 1295399236
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 25, 2019PECOS Enrolled
234 GOODMAN ST, CINCINNATI, OH 45219(513) 558-7043 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wallace Wilson Md NPPES

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

DR. WALLACE WILSON MD (NPI 1295399236) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295399236
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WALLACE WILSONCredential: MD
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing Address234 Goodman StCincinnati, OH 45219-2364
Phone(513) 558-7043
Sole ProprietorYes
Enumeration DateApril 25, 2019
✔ NPI 1295399236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
234 GOODMAN ST, Cincinnati, OH 45219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wallace Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ALEXANDER TOPALA MD
Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
MELISSA T WESLEY CRNA
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
DR. SAURABH CHANDRA MD
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-1000
JOSEPH D PANDISCIA PA-C
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 475-8690
RACHEL BEAUPRE
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 584-1387
KATIE DEAN
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
MICHELLE CHAPMAN
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-6356
KAYLA BERTKE
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 584-3468

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 Wallace Wilson's NPI number?

The NPI number for Wallace Wilson is 1295399236. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Wallace Wilson located?

Wallace Wilson practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 558-7043.

What is Wallace Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wallace Wilson enrolled in Medicare?

Yes. Wallace Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wallace Wilson was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.