1. Home
  2. Directory
  3. Pennsylvania
  4. Cranberry Township
  5. Surgery
  6. NPI Profile

WALLACE VASCULAR, LLC.
NPI 1629796941
Surgery - Vascular Surgery in Cranberry Township, PA

Active since August 22, 2022
51 DUTILH RD STE 100, CRANBERRY TOWNSHIP, PA 16066(724) 201-2399(724) 776-3864 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallace Vascular, Llc. NPPES

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

WALLACE VASCULAR, LLC. (NPI 1629796941) is a healthcare organization registered as a vascular surgery in Cranberry Township, Pennsylvania and active in the NPI registry since August 2022. The organization lists Justin Robert Wallace, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1629796941
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameWALLACE VASCULAR, LLC.
Location Address51 DUTILH RD STE 100Cranberry Township, PA 16066-4148
Mailing Address51 Dutilh Rd Ste 100Cranberry Township, PA 16066-4148 · (724) 201-2399 · Fax (724) 776-3864
Phone(724) 201-2399
Fax(724) 776-3864
Organization SubpartNo
Authorized OfficialJustin Robert WallaceMedical Doctor · (724) 201-2399
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1629796941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
51 DUTILH RD STE 100, Cranberry Township, PA 16066
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JUSTIN ROBERT WALLACE MD
Surgery (Vascular Surgery)
51 DUTILH RD STE 100
CRANBERRY TOWNSHIP, PA 16066
Butler County (724) 278-3484
GPS CRANBERRY LLC.
Clinic/Center (Ambulatory Surgical)
51 DUTILH RD STE 100
CRANBERRY TOWNSHIP, PA 16066
Butler County (877) 658-6800
INTEGRATED VASCULAR AND INTERVENTIONAL RADIOLOGY ASSOCIATES OF PITTSBU
Radiology (Vascular & Interventional Radiology)
51 DUTILH RD STE 100
CRANBERRY TOWNSHIP, PA 16066
Butler County (724) 201-2399
VASCULAR ACCESS CENTER OF PITTSBURGH LLC
Internal Medicine (Nephrology)
51 DUTILH RD STE 100
CRANBERRY TOWNSHIP, PA 16066
Butler County (412) 683-4504
AMBULATORY CARE SPECIALISTS OF CRANBERRY LLC
Clinic/Center (Ambulatory Surgical)
51 DUTILH RD STE 100
CRANBERRY TOWNSHIP, PA 16066
Butler County (412) 683-4504

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 Wallace Vascular, LLC.'s NPI number?

The NPI number for Wallace Vascular, LLC. is 1629796941. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Wallace Vascular, LLC. located?

Wallace Vascular, LLC. is located at 51 Dutilh Rd Ste 100, Cranberry Township, PA 16066. The listed phone number is (724) 201-2399.

What is Wallace Vascular, LLC.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Wallace Vascular, LLC. was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.