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THOMAS EVERETT WALLACE M.D.
NPI 1700822822
Internal Medicine - Critical Care Medicine in Lexington, KY

Active since June 20, 2006
740 S LIMESTONE, L543, KENTUCKY CLINIC, LEXINGTON, KY 40536(859) 323-5045(859) 257-2418 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2021, Jan 25, 2021 (2 updates tracked since 2021).

About Thomas Everett Wallace M.d. NPPES

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

THOMAS EVERETT WALLACE M.D. (NPI 1700822822) is an individual critical care medicine provider in Lexington, Kentucky, licensed in Kentucky (43982) and active in the NPI registry since June 2006. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1700822822
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTHOMAS EVERETT WALLACECredential: M.D.
Location Address740 S LIMESTONE, L543, KENTUCKY CLINICLexington, KY 40536-0284
Mailing Address740 S Limestone, L534, Kentucky ClnicLexington, KY 40536-0284 · (859) 323-5045
Phone(859) 323-5045
Fax(859) 257-2418
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1700822822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in KY · 43982✔ Licensed in TN · MD23936✔ Licensed in WV · 30857
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 43982 (KY)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 30857 (WV), 43982 (KY)
740 S LIMESTONE, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14015 Gateway BlvdNewburgh, IN 47630-8925 · Phone (812) 450-7720 · Fax (812) 450-7730
Location 2519 Harriet StEvansville, IN 47710-1715 · Phone (812) 450-7720 · Fax (812) 450-7730
Location 3327 Medical Park DrBridgeport, WV 26330-9006 · Phone (681) 342-1000

Other Identifiers 7

Other4158379TN · Blue Cross
Medicaid33270961TN
OtherP00317082TN · Railroad Medicare
Medicaid201256750IN
Other4123936TN · Bcbs Of Tennessee
Medicaid3327097TN
Medicaid30707611TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. ELIZABETH BROWN AUTRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-2509
KHALID HAIKAL DO
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
MARK A ETSCHEIDT PHD
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL HAN YOUNG MD
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5544
MR. DAVID ANTHONY BRAJUHA ATC
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Fayette County (859) 323-5533
MS. MARGARET GRACE AU MBE, MS, CGC
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-1795
ALEXANDRIA DULAY
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-8992
KITTYE R ROBERTS ARNP
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5981

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 Thomas Wallace's NPI number?

The NPI number for Thomas Wallace is 1700822822. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Thomas Wallace located?

Thomas Wallace practices at 740 S Limestone L543, Kentucky Clinic, Lexington, KY 40536. The listed phone number is (859) 323-5045.

What is Thomas Wallace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

What insurance does Thomas Wallace accept?

Health plans from CareSource list Thomas Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Wallace was last updated on November 2, 2021. 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.