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LOGAN GRACE GARY WALLACE MD
NPI 1528802659
Internal Medicine in Norfolk, VA

Active since June 24, 2024
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-8910 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 27, 2026, Jun 24, 2024 (2 updates tracked since 2024).

About Logan Grace Gary Wallace Md NPPES

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

LOGAN GRACE GARY WALLACE MD (NPI 1528802659) is an individual internal medicine provider in Norfolk, Virginia, licensed in Virginia (0116042630) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1528802659
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLOGAN GRACE GARY WALLACECredential: MD
Location Address825 FAIRFAX AVENorfolk, VA 23507-1912
Mailing Address825 Fairfax AveNorfolk, VA 23507-1912 · (757) 446-8910
Phone(757) 446-8910
Sole ProprietorNo
Enumeration DateJune 24, 2024
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1528802659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0116042630
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
825 FAIRFAX AVE, Norfolk, VA 23507
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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.

MRUNA PATEL MD
Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-7934
SHRUSHTI YASHESH DALAL
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-8920
XIPI AMIN
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600
MARY GRACE LIBERATORE YOUNG
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 466-5600
DR. RICHARD M. WHALEN MD
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JESSICA D SNOOK FNP
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JOSHUA KEITH ROGERS DO
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
NICOLE GUNAWANSA MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955

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 Logan Wallace's NPI number?

The NPI number for Logan Wallace is 1528802659. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Logan Wallace located?

Logan Wallace practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-8910.

What is Logan Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Logan Wallace was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.