Rachel Morgan Wallace, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.015318 Issued in OH

Practice address

4300 Allen Rd
Stow, OH 44224-1032

Phone

(330) 945-9300

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
• Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
• University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwallace36878@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339

  Single Specialty

  Medicare reassignment Care Compare group NPD
• University Primary Care Practices Inc

  dba Uhmp

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098

  Single Specialty

  NPD
• University Primary Care Practices Inc

  dba Center for Orthopedics

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087

  Single Specialty

  NPD
• University Primary Care Practices

  • Pediatrics Physician
  • Twinsburg, OH
  • NPI 1326166752

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Patriot Homecare, Inc.

  • Home Health Agency
  • Girard, OH
  • NPI 1598061418
  Care Compare affiliation
• Robinson Health System, Inc.

  dba University Hospitals Portage Medical Center

  • General Acute Care Hospital
  • Ravenna, OH
  • NPI 1043641897
  Care Compare affiliation
• University Hospitals Home Care Services Inc

  dba Univ Hospitals Home Care Services

  • Home Health Agency
  • Warrensville Heights, OH
  • NPI 1417940826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1033602131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALLEN RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-945-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALLEN RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241032",
            "telephone_number": "330-945-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RACHEL",
        "middle_name": "MORGAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2323)
• Wal-Mart Stores East, LP (Vision Center 30-2323)
• Walgreen Co (Walgreens #04295)
• Nancy J Walker Gerbetz, LISW
• Kaleigh Wallace
• Mary Wallman
• Laura Ward, LPC
• Karlie Wardlaw
• Kara Jean Wargo, CNP
• Linda M Watt, MA, CCC-SLP

• Family Medicine Physician in Stow, OH
• Providers in Stow, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.