ADAM J. WALLACE M.D. – NPI #1518129733
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

ADAM WALLACE is an anesthesiologist located in TULSA, OK. NPPES has assigned the NPI number 1518129733 to ADAM WALLACE on June 29, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 7 years ago on Apr 29, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADAM WALLACE below.

NPI Profile for
ADAM J. WALLACE

NPI Number
1518129733
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ADAM J. WALLACE
Credentials
M.D.
Primary location
3336 E 32ND ST STE 220
TULSA, OK 74135-4442
Phone: (918) 255-7246 Fax: (918) 255-7000
1 Other location(s):
6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823
Phone: (918) 447-9300
Fax: (918) 447-9308
Mailing address
6802 S OLYMPIA AVE
SUITE 100
TULSA, OK 74132-1823
Phone: (918) 447-9300 Fax: (918) 447-9308
Sole Proprietor
No
Updated
Identifiers

Identifiers for ADAM WALLACE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200222690A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
OK 26497

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE - Graduated 2008
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ADAM WALLACE is affiliated with the following medical group(s):
  • HOSPITAL
    • JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
      3500 EAST FRANK PHILLIPS BOULEVARD
      BARTLESVILLE, OK 74006
    • MCALESTER REGIONAL HEALTH CENTER
      1 CLARK BASS BOULEVARD
      MCALESTER, OK 74501
    • SAINT FRANCIS HOSPITAL MUSKOGEE
      300 ROCKEFELLER DRIVE
      MUSKOGEE, OK 74401

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