WILLIAM J. WALLACE D.O. – NPI #1275539603
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Health Care Provider Taxonomy Code for Otolaryngology

WILLIAM WALLACE is an otolaryngologist located in WEST COLUMBIA, SC. NPPES has assigned the NPI number 1275539603 to WILLIAM WALLACE on June 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was last updated on Mar 18, 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 WILLIAM WALLACE below.

NPI Profile for
WILLIAM J. WALLACE

NPI Number
1275539603
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM J. WALLACE
Credentials
D.O.
Primary location
146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC 29169-4800
Phone: (803) 936-7530 Fax: (803) 936-7532
1 Other location(s):
5 Sheridan Sq
Kingsport, TN 37660
Phone: (423) 246-8155
Fax: (246) 246-8658
Mailing address
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone: (803) 936-7530 Fax: (803) 936-7532
Sole Proprietor
No
Updated
Certification Date
Mar 18, 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.

Identifiers

Identifiers for WILLIAM 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
medicaidKY64071962
medicaidTN3306857
medicaidVA006500391
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
207Y00000X
- Otolaryngology (Primary)		 SC 39895
207YS0123X
- Otolaryngology / Facial Plastic Surgery		 TN 01428

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
146 E HOSPITAL DR STE 200,
WEST COLUMBIA, SC 77025-1669

Additional Information

Education
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE - Graduated 1992
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
WILLIAM WALLACE is affiliated with the following medical group(s):
  • HOSPITAL
    • LONESOME PINE HOSPITAL
      1990 HOLTON AVENUE EAST
      BIG STONE GAP, VA 24219
    • WELLMONT HOLSTON VALLEY MEDICAL CENTER
      130 WEST RAVINE ROAD
      KINGSPORT, TN 37662

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.