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DR. JOHN M WALLIS MD
NPI 1639734569
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 06, 2019
833 CHESTNUT ST STE 220, PHILADELPHIA, PA 19107(215) 955-8465 Get Directions Write a Review

NPPES record last updated: June 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2019, May 6, 2019 (2 updates tracked since 2019).

About Dr. John M Wallis Md NPPES

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

DR. JOHN M WALLIS MD (NPI 1639734569) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT218139) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1639734569
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN M WALLISCredential: MD
Location Address833 CHESTNUT ST STE 220Philadelphia, PA 19107-4405
Mailing Address833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · (215) 955-8465
Phone(215) 955-8465
Sole ProprietorNo
Enumeration DateMay 6, 2019
Last NPPES UpdateJune 9, 20192 updates tracked since enumeration
✔ NPI 1639734569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT218139
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
833 CHESTNUT ST STE 220, Philadelphia, PA 19107
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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.

RISA GOLDBERG
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
JUSTIN AOYAMA MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SANJNA SHELUKAR MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SHREYA DHUPAM MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
ELLA ROSE FEINER
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
DR. NICHOLAS NOVERATI MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
DR. EDWIN PEREZ MD
Internal Medicine
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
SUNIDHI RAMESH
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465

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 John Wallis's NPI number?

The NPI number for John Wallis is 1639734569. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is John Wallis located?

John Wallis practices at 833 Chestnut St Ste 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is John Wallis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for John Wallis was last updated on June 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.