Elron J Wallace, MD

Key facts

NPI

1124122809

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

D65067 (MD)

Practice address

301 Hospital Dr
Glen Burnie, MD 21061-5803

Phone

(410) 787-4656

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 13

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.

• North American Partners in Anesthesia Maryland LLC Anesthesiology Physician · Prince Frederick, MD · NPI 1093707879
  Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · DC · MD
• Guthrie Medical Group, P.C. Family Medicine Physician · Athens, PA · NPI 1962451153
  Medicare reassignment Care Compare group NPD PA
• North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology Physician · Melville, NY · NPI 1639137854
  Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · PA
• Anesthesia Company, LLC Anesthesiology Physician · Annapolis, MD · NPI 1871548156
  Medicare reassignment NPD ANESTHESIOLOGY · DC · MD
• First Colonies Anesthesia Associates, LLC Anesthesiology Physician · Columbia, MD · NPI 1740218767
  Medicare reassignment NPD ANESTHESIOLOGY · MD
• Excela Health Physician Practices, Inc Cardiovascular Disease Physician · Greensburg, PA · NPI 1821225202
  Medicare reassignment NPD PA
• Guthrie Medical Group, P.C. General Practice Physician · Sayre, PA · NPI 1245246644
  Care Compare group NPD ANESTHESIOLOGY
• Guthrie Medical Group PC Clinical Medical Laboratory · Sayre, PA · NPI 1649225855
  Care Compare group
• Guthrie Medical Group, P.C. Multi-Specialty Clinic/Center · Corning, NY · NPI 1134178635
  Care Compare group
• Guthrie Medical Group, P.C. Durable Medical Equipment & Medical Supplies · Waverly, NY · NPI 1578755682
  Care Compare group
• Excela Health Physician Practices, Inc. Family Medicine Physician · Greensburg, PA · NPI 1235004193
  NPD
• Excela Health Physician Practices, Inc. Family Medicine Physician · North Huntingdon, PA · NPI 1659959609
  NPD
• Guthrie Medical Group, P.C. Anesthesiology Physician · Sayre, PA · NPI 1376594176
  NPD ANESTHESIOLOGY

Hospital & facility affiliations 8

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

• Union Hospital of Cecil County General Acute Care Hospital · Elkton, MD · NPI 1376523357
  Care Compare affiliation Hospital
• Upmc Western Maryland Corporation Mental Illness Community Based Residential Treatment Facility · Cumberland, MD · NPI 1174141592
  Care Compare affiliation Hospital
• Upmc Western Maryland Corporation General Acute Care Hospital · Cumberland, MD · NPI 1609831247
  Care Compare affiliation Hospital
• Upmc Western Maryland Corporation Hearing and Speech Clinic/Center · Cumberland, MD · NPI 1740969245
  Care Compare affiliation Hospital
• Upmc Western Maryland Corporation Clinic/Center · Cumberland, MD · NPI 1780251850
  Care Compare affiliation Hospital
• Corning Hospital General Acute Care Hospital · Corning, NY · NPI 1346241973
  Care Compare affiliation Hospital
• Pottstown Hospital, LLC Hematology & Oncology Physician · Pottstown, PA · NPI 1093225369
  Care Compare affiliation Hospital
• Pottstown Hospital, LLC General Acute Care Hospital · Pottstown, PA · NPI 1649794421
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Anesthesiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guthrie Medical Group PC (795 clinicians)
North American Partners in Anesthesia Maryland LLC (47 clinicians)
North American Partners in Anesthesia, Pennsylvania , LLC (302 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital of Cecil County Hospital · Elkton, MD · CCN 210032
• Corning Hospital Hospital · Corning, NY · CCN 330277
• Western Maryland Regional Medical Center Hospital · Cumberland, MD · CCN 210027
• Pottstown Hospital Hospital · Pottstown, PA · CCN 390123

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in MD, DC, PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ewallace171625@direct-guthrie.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2024.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1124122809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "ELRON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD428013",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D65067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Glen Burnie, MD · Anesthesiology Physician in Maryland