Sharon Renee Wallace, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K0394 Issued in TX

Practice address

2900 North Loop W Ste 1300
Houston, TX 77092-8815

Phone

(773) 292-4800

Fax

(312) 564-4059

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: sharon.wallace.p1@direct.alegiscare.nextgenshare.com
• Direct secure messaging: sharon.wallace.p2@direct.alegiscare.nextgenshare.com

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326022724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081169",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH LOOP W STE 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928815",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Chase Corporate Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352441015",
            "country_code": "US",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Great Circle Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281309",
            "country_code": "US",
            "telephone_number": "773-292-4800",
            "fax_number": "312-564-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111778001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lindsey Wallace, PT, DPT
• Phyllis Marie Wallace, CRNA
• Rebecca Ann Wallace, MSW
• Rebekah Wallace, LCSW
• Shannon E Wallace
• Shawnee Wallace, DO
• Shernique Wallace, DDS
• Sowdhamini Shettigar Wallace, D.O.
• Stephanie Wallace, MS, CGC
• Rebecca Burditt Walle, RN

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.