1. Home
  2. Directory
  3. Colorado
  4. Lakewood
  5. Internal Medicine
  6. NPI Profile

DAVID WALLACK M.D.
NPI 1558310706
Internal Medicine - Geriatric Medicine in Lakewood, CO

Active since May 08, 2006
11700 W 2ND PL, #4-450, LAKEWOOD, CO 80228(303) 825-1234(720) 321-8121 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Wallack M.d. NPPES

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

DAVID WALLACK M.D. (NPI 1558310706) is an individual geriatric medicine provider in Lakewood, Colorado, licensed in Colorado (17055) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1558310706
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDAVID WALLACKCredential: M.D.
Location Address11700 W 2ND PL, #4-450Lakewood, CO 80228-1704
Mailing Address11700 W 2nd Pl, #4-450Lakewood, CO 80228-1704 · (303) 825-1234 · Fax (720) 321-8121
Phone(303) 825-1234
Fax(720) 321-8121
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateMarch 5, 2013
✔ NPI 1558310706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CO · 17055
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
11700 W 2ND PL, Lakewood, CO 80228
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND23181CO
Medicaid01170554CO

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. PATRICK DONOHUE RUDERSDORF M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11700 W 2ND PL, SUITE 280
LAKEWOOD, CO 80228
Jefferson County (720) 321-8680
JOSHUA AARON CROSS
Physician Assistant (Surgical)
11700 W 2ND PL, ST ANTHONY MEDICAL PLAZA 2, SUITE 280
LAKEWOOD, CO 80228
Jefferson County (720) 321-8680
NIMA AGHILI MD
Internal Medicine (Interventional Cardiology)
11700 W 2ND PL, SUITE 350
LAKEWOOD, CO 80228
Jefferson County (303) 595-2727
EAMONN MICHAEL QUINN MD
Radiology (Diagnostic Radiology)
11700 W 2ND PL
LAKEWOOD, CO 80228
Jefferson County (720) 321-8230
PIBLE DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11700 W 2ND PL, STE 325
LAKEWOOD, CO 80228
Jefferson County (303) 987-4672
ELIZABETH ANN GORDON AU.D., CCC-A
Audiologist
11700 W 2ND PL, SUITE 435
LAKEWOOD, CO 80228
Jefferson County (720) 321-8410
DR. DANIEL GROSS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11700 W 2ND PL, MOB 2 STE 210
LAKEWOOD, CO 80228
Jefferson County (720) 321-8080
CHRISTINE ANN BIRCHEM PHYSICAN ASSISTANT
Physician Assistant (Surgical)
11700 W 2ND PL, SUITE 280
LAKEWOOD, CO 80228
Jefferson County (720) 321-8680

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 David Wallack's NPI number?

The NPI number for David Wallack is 1558310706. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is David Wallack located?

David Wallack practices at 11700 W 2nd Pl #4-450, Lakewood, CO 80228. The listed phone number is (303) 825-1234.

What is David Wallack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for David Wallack was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.