STEPHANIE R. WALLACE MD – NPI #1841289022
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

STEPHANIE WALLACE is a physician located in COLORADO SPRINGS, CO. NPPES has assigned the NPI number 1841289022 to STEPHANIE WALLACE on October 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 8 years ago on Sep 06, 2018. 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 STEPHANIE WALLACE below.

NPI Profile for
STEPHANIE R. WALLACE

NPI Number
1841289022
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE R. WALLACE
Credentials
MD
Primary location
2405 RESEARCH PARKWAY
COLORADO SPRINGS, CO 80918
Phone: (719) 522-1134 Fax: (719) 598-7229
Mailing address
2 S CASCADE AVE STE 140
COLORADO SPRINGS, CO 80903-1604
Phone: (719) 866-6568 Fax: (719) 538-2999
Sole Proprietor
No
Updated
Identifiers

Identifiers for STEPHANIE 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
MEDICAIDCO01344357
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
208000000X
- Pediatrics (Primary)
CO DR.0034435

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.