JOHN WALLACE II MD
NPI 1457526808
Psychiatry & Neurology - Psychiatry in Wilmington, NC

Q: What is John Wallace's NPI number?

The NPI number for John Wallace is 1457526808. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is John Wallace's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for John Wallace was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 28, 2008

1705 GARDNER DR, WILMINGTON, NC 28405(910) 343-5300(910) 254-1352 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Wallace Ii Md NPPES

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

JOHN WALLACE II MD (NPI 1457526808) is an individual psychiatry provider in Wilmington, North Carolina, licensed in North Carolina (98-01546) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1457526808

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJOHN WALLACE IICredential: MD

Location Address1705 GARDNER DRWilmington, NC 28405-8873

Mailing Address1705 Gardner DrWilmington, NC 28405-8873 · (910) 343-5300 · Fax (910) 254-1352

Phone(910) 343-5300

Fax(910) 254-1352

Sole ProprietorNo

Enumeration DateApril 28, 2008

Last NPPES UpdateApril 27, 2015

✔ NPI 1457526808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NC · 98-01546✔ Licensed in NC · 9801546

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1705 GARDNER DR, Wilmington, NC 28405

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Other Identifiers 3

Medicaid5920117NC

Medicare PINNC6782ANC

Medicare UPINH49054

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.

DR. JOICEANN COMPTON FUCHS MD

Family Medicine