John D Wallace Enterprises

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

JOHN D WALLACE ENTERPRISES

Practice address

513 George St
A
New Bern, NC 28560-4811

Phone

(252) 514-0330

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John David Wallace

Title

President

Phone

(252) 514-0330

Specialties & licenses 1

Addresses

Other names 1

• FAMILY HEALTH CARE SERVICES Doing business as

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1154512424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 GEORGE ST",
            "address_2": "A",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604811",
            "telephone_number": "252-514-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 GEORGE ST",
            "address_2": "A",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604811",
            "telephone_number": "252-514-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D WALLACE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-514-0330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JD&L Operations Divison, LLC
• Mariah Jenkins
• Stuart Clark Jennings, M.D.
• David Blackwell Jessup, M.D.
• Jose Nicolas Jimenez Zuluaga, MD
• Keiara Johnson-Brown
• Karen E Johnson-Ellenberger, RPH
• Amanda Jane Johnson, PA-C
• Anbria Johnson, BCBA
• Ashley D Johnson, CCC-SLP

• Preferred Provider Organization in New Bern, NC
• Providers in New Bern, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.