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RICHARD ARLEN WALLUS
NPI 1992886410
Physician Assistant in Grand Rapids, MI

Active since October 18, 2006
100 MICHIGAN NW, SUITE A721, GRAND RAPIDS, MI 49503(616) 974-4493 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Arlen Wallus NPPES

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

RICHARD ARLEN WALLUS (NPI 1992886410) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601001365) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1992886410
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD ARLEN WALLUS
Location Address100 MICHIGAN NW, SUITE A721Grand Rapids, MI 49503
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 974-4493
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 4, 2011
✔ NPI 1992886410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601001365
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MICHIGAN NW, Grand Rapids, MI 49503
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Other Identifiers 3

Medicare ID-Type UnspecifiedON38550013MI
Medicare PIN0M74460122MI
Medicare UPINP66823MI

Other Providers at the Same Location NPPES

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

AMY LYNN WING PA
Physician Assistant
100 MICHIGAN NW, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 974-4493

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 Richard Wallus's NPI number?

The NPI number for Richard Wallus is 1992886410. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Richard Wallus located?

Richard Wallus practices at 100 Michigan NW Suite A721, Grand Rapids, MI 49503. The listed phone number is (616) 974-4493.

What is Richard Wallus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Wallus was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.