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DR. DOUGLAS CHARLES WALLACE M.D.
NPI 1851470033
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lafayette, IN

Active since November 06, 2006
3900 ST FRANCIS WAY, STE 201, LAFAYETTE, IN 47905(765) 446-7981(765) 446-7982 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglas Charles Wallace M.d. NPPES

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

DR. DOUGLAS CHARLES WALLACE M.D. (NPI 1851470033) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lafayette, Indiana, licensed in Indiana (01071946A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1851470033
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DOUGLAS CHARLES WALLACECredential: M.D.
Location Address3900 ST FRANCIS WAY, STE 201Lafayette, IN 47905-4923
Mailing Address3900 St Francis Way, Ste 201Lafayette, IN 47905-4923 · (765) 446-7981 · Fax (765) 446-7982
Phone(765) 446-7981
Fax(765) 446-7982
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateDecember 19, 2012
✔ NPI 1851470033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in IN · 01071946A✔ Licensed in CA · G66727✔ Licensed in IL · 036-101410
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3900 ST FRANCIS WAY, Lafayette, IN 47905
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Other Identifiers 2

Medicare PIN256510001IL
Medicaid036112410IL

Other Providers at the Same Location NPPES

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

BARRY JOEL KARAS MD
Internal Medicine (Cardiovascular Disease)
3900 ST FRANCIS WAY, SUITE 200
LAFAYETTE, IN 47905
Tippecanoe County (765) 775-2800

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 Douglas Wallace's NPI number?

The NPI number for Douglas Wallace is 1851470033. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Douglas Wallace located?

Douglas Wallace practices at 3900 St Francis Way Ste 201, Lafayette, IN 47905. The listed phone number is (765) 446-7981.

What is Douglas Wallace's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Douglas Wallace was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.