Christopher Alan Wallace, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

041939 Issued in CT

Practice address

270 Farmington Avenue
Suite 332
Farmington, CT 06089

Phone

(888) 276-2223

Fax

(972) 767-0225

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

PathologyAlso: Dermatology

Education

Albany Medical College of Union University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Connecticut Pathology Consultants, PCGroup PAC ID 3173511581, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafollette Medical Center Hospital, La Follette, TN, CCN 440033

Merit-based Incentive Payment System (MIPS)

Final score

55.67 of 100Reported as group

Quality

46.42

Improvement activities

40

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.

• Eastern Connecticut Pathology Consultants, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Manchester, CT
  • NPI 1558326991
  Medicare reassignment Care Compare group NPD

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

• Campbell County Hma, LLC

  • General Acute Care Hospital
  • Lafollette, TN
  • NPI 1639151301
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1164447215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 FARMINGTON AVENUE",
            "address_2": "SUITE 332",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06089",
            "telephone_number": "888-276-2223",
            "fax_number": "972-767-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CT",
            "license": "041939",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CT",
            "license": "041939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Stead Wakefield, MD
• Shira L Wald
• Peter G Walden, M.D
• Joseph Walker, MD
• Linda Wall
• James Wallace Jr., M.D.
• Victor Wallock, D.M.D.
• Daniel Walocha, MD
• Bridget Ann Walsh, PA
• Joseph A Walsh, MD

• Anatomic Pathology & Clinical Pathology Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.