DR. ROXANNE ELIZABETH WALLACE M.D.
NPI 1609959451
Orthopaedic Surgery in Fort Campbell, KY

Q: What is Roxanne Wallace's NPI number?

The NPI number for Roxanne Wallace is 1609959451. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Roxanne Wallace's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Roxanne Wallace was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 23, 2006

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-7694(270) 798-8630 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Roxanne Elizabeth Wallace M.d. NPPES

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

DR. ROXANNE ELIZABETH WALLACE M.D. (NPI 1609959451) is an individual orthopaedic surgery provider in Fort Campbell, Kentucky, licensed in Wisconsin (61606-20) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1609959451

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameDR. ROXANNE ELIZABETH WALLACECredential: M.D.

Location Address650 JOEL DRFort Campbell, KY 42223

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-7694 · Fax (270) 798-8630

Phone(270) 798-7694

Fax(270) 798-8630

Sole ProprietorNo

Enumeration DateOctober 23, 2006

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1609959451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 61606-20

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

650 JOEL DR, Fort Campbell, KY 42223

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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.

LISA RENEE CORDELL RN

Registered Nurse