Joseph Claude Wallace, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10987 Issued in AL

Practice address

1031 Fairfax Park
Tuscaloosa, AL 35406-2807

Phone

(205) 345-2211

Fax

(205) 345-2220

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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 AL

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

General Surgery

Education

University of Alabama School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Physician Network, P.C.Group PAC ID 0840337721, 46 clinicians

Tombigbee Healthcare AuthorityGroup PAC ID 6709873235, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Carrollton, AL, CCN 017092
• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1598090839
  Medicare reassignment Care Compare group NPD
• Tombigbee Healthcare Authority

  • Specialist
  • Demopolis, AL
  • NPI 1578690327
  Medicare reassignment Care Compare group NPD
• Southeast Physician Network, P.C.

  • Hematology & Oncology Physician
  • Tuscaloosa, AL
  • NPI 1255813119
  NPD
• Tombigbee Healthcare Authority

  • Rural Health Clinic/Center
  • Linden, AL
  • NPI 1225682537
  NPD

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

• Caresouth HHA Holdings of Valley, LLC

  • Home Health Agency
  • Carrollton, AL
  • NPI 1689191405
  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1104850957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062807",
            "telephone_number": "205-345-2211",
            "fax_number": "205-345-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062807",
            "telephone_number": "205-345-2211",
            "fax_number": "205-345-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JOSEPH",
        "middle_name": "CLAUDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "10987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Bradford Walker, LICSW
• Diane Walker
• Johnna Junkin Walker, CRNA
• Octavia Mechelle Breazeale Walker, RN
• Paul Walker, PHARM.D.
• Sylvester Darren Wallace, LMSW, ACSW, C-ASWCM
• William Robert Wallace, MD
• Valerie Walters, LGSW
• Preston Rosario Walthour
• Eddie Ling-Tse Wang, M.D.

• Surgery Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.