DR. STEPHANIE R WALLACE MD
NPI 1841289022
Pediatrics in Colorado Springs, CO

NPI Status: Active since October 19, 2005

Contact Information

2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 522-1134
Fax: (719) 598-7229

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  • Individual
  • Female
  • Pediatrics

About STEPHANIE WALLACE

This page provides the complete NPI Profile along with additional information for Stephanie Wallace, a pediatrician established in Colorado Springs, Colorado with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1841289022 assigned on October 2005. The practitioner's primary taxonomy code is 208000000X with license number DR.0034435 (CO). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1841289022
Provider Name
DR. STEPHANIE R WALLACE MD
Gender
Female
Entity Type
Individual
Location Address
2405 RESEARCH PARKWAY COLORADO SPRINGS, CO 80918
Location Phone
(719) 522-1134
Location Fax
(719) 598-7229
Mailing Address
2 S CASCADE AVE STE 140 COLORADO SPRINGS, CO 80903
Mailing Phone
(719) 866-6568
Mailing Fax
(719) 598-7229
Is Sole Proprietor?
No
Enumeration Date
10-19-2005
Last Update Date
09-06-2018
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A pediatrician like Stephanie Wallace is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0034435
License State
CO
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01344357MEDICAID (05)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841289022
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881481804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 4 + 8 + 1 + 8 + 0 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1841289022 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841289022, enumerated as an "individual" on October 19, 2005.

The provider is located at 2405 RESEARCH PARKWAY COLORADO SPRINGS, CO 80918 and the phone number is (719) 522-1134.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.