EMMETT L. WALLACE DO – NPI #1215992334
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
EMMETT WALLACE is a physician located in BETTENDORF, IA. NPPES has assigned the NPI number 1215992334 to EMMETT WALLACE on April 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 15 years ago on Jul 22, 2011. 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 EMMETT WALLACE below.
NPI Profile for
EMMETT L. WALLACE
(more than 20 years ago)
BETTENDORF, IA 52722 Phone: (563) 359-1181 Fax: (563) 386-3177
Identifiers for EMMETT 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | 0158642 | |
| MEDICAID | IA | 0047902 |
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 |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
IA | 01133 |
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.