Harry Joseph Wallus, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

T0638 Issued in NH

Practice address

333 Borthwick Ave
Portsmouth, NH 03801-7128

Phone

(603) 433-4012

Fax

(603) 433-5184

NPI assigned

Aug 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Emergency Physicians of Derry PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Derry, NH
  • NPI 1730232232
  NPD (past)
• Portsmouth Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Portsmouth, NH
  • NPI 1710923511
  NPD (past)
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1215183751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PLEASANT ST",
            "address_2": "STE 204",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575881",
            "telephone_number": "603-926-0088",
            "fax_number": "603-926-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4012",
            "fax_number": "603-433-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLUS",
        "first_name": "HARRY",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "260578",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "T0638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03351484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-2130)
• Kathleen Amanda Waleryszak, LICSW
• Acadia Walker
• Dennis Walker, LICSW
• Mollie Claire Waller
• Walnut Vision Care NH PC
• Ivy Walsh
• Margaret Walsh
• Rebecca Walsh, BCBA
• Teresa Louise Walsh, NUTRITIONIST

• Emergency Medicine Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.