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

JOHN WALLACE SR. IDC
NPI 1316926066
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Active since January 11, 2006
300 E MAIN ST, SUITE 1000, NORFOLK, VA 23510(757) 628-4347 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Wallace Sr. Idc NPPES

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

JOHN WALLACE SR. IDC (NPI 1316926066) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1316926066
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJOHN WALLACE SR.Credential: IDC
Location Address300 E MAIN ST, SUITE 1000Norfolk, VA 23510-1753
Mailing Address235 Jonathans WaySuffolk, VA 23434-9153 · (757) 923-3793
Phone(757) 628-4347
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316926066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
300 E MAIN ST, Norfolk, VA 23510
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOWARD R. HARRIS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4417
MICHAEL ANDREW KOCERKA HS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4373
USCG CLINIC BARBERS POINT
Clinic/Center (Military/U.S. Coast Guard Outpatient)
300 E MAIN ST
NORFOLK, VA 23510
Norfolk City (757) 628-4363
DR. JOSEPH LEWIS PEREZ M.D.
Family Medicine
300 E MAIN ST, 10TH FLOOR-HSWL OPERATIONAL MEDICINE
NORFOLK, VA 23510
Norfolk City (757) 628-4338
KIRK WATSON HS
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4375
MR. JAY ANDREW WOOD RTR
Technician, Other
300 E MAIN ST
NORFOLK, VA 23510
Norfolk City (757) 628-4381
MR. JOSHUA RENE GARCIA
Technician, Other
300 E MAIN ST, SUITE 1000
NORFOLK, VA 23510
Norfolk City (757) 628-4348
IVAN ENRIQUE CASTRO EMT-B, HS2
Technician, Other
300 E MAIN ST
NORFOLK, VA 23510
Norfolk City (562) 922-5135

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 John Wallace's NPI number?

The NPI number for John Wallace is 1316926066. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is John Wallace located?

John Wallace practices at 300 E Main St Suite 1000, Norfolk, VA 23510. The listed phone number is (757) 628-4347.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for John 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 37 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.