WALLACE R. NOZILE MD – NPI #1093101107
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

WALLACE NOZILE is a dermatologist located in WASHINGTON, DC. NPPES has assigned the NPI number 1093101107 to WALLACE NOZILE on April 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Mar 12, 2026. 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 WALLACE NOZILE below.

NPI Profile for
WALLACE R. NOZILE

NPI Number
1093101107
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALLACE R. NOZILE
Credentials
MD
Primary location
4910 MASSACHUSETTS AVE NW STE 308
WASHINGTON, DC 20016-4382
Phone: (202) 695-1000 Fax:
3 Other location(s):
211 Edgewood Dr
Apopka, FL 32703-4355
Phone: (407) 395-3770
Fax: (407) 395-3779
1503 Buenos Aires Blvd Ste 130
The Villages, FL 32159-6826
Phone: (352) 775-8216
Fax: (352) 775-8216
1991 Daniels Rd
Winter Garden, FL 34787-4599
Phone: (407) 395-3770
Fax: (407) 395-3779
Mailing address
2505 HARRISON AVE
PANAMA CITY, FL 32405-4464
Phone: (850) 233-3376 Fax: (850) 522-8354
Sole Proprietor
No
Updated
Certification Date
Mar 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
FL ME139741

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 FLORIDA COLLEGE OF MEDICINE - Graduated 2015
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

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