Jeffrey S Wallace, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

J3932 Issued in TX

Practice address

6800 Heritage Pkwy Ste 102
Rockwall, TX 75087-8746

Phone

(972) 463-1253

Fax

(214) 607-1641

NPI assigned

Aug 10, 2006

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Orthopedic Surgery

Education

Louisiana State University School of Medicine in Shreveport, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jwallace@jeffreyswallacemd.careclouddirect.com

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.

• Wallace Orthopaedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Rockwall, TX
  • NPI 1740306208
  NPD (past) Authorized official
• Sparks Clinic PA

  • Family Medicine Physician
  • Rockwall, TX
  • NPI 1841214467
  NPD (past)
• Center for Orthopaedics

  • Orthopaedic Surgery Physician
  • Sulphur, LA
  • NPI 1043397672
  NPD (past)
• Center for Orthopaedics

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
  • NPI 1194819607
  NPD (past)

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

• Hunt Memorial Hospital District

  dba Hunt Regional

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  dba Baylor Scott & White Medical Center Lake Pointe

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1629089156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2108",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875008",
            "telephone_number": "972-463-1253",
            "fax_number": "972-463-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HERITAGE PKWY STE 102",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878746",
            "telephone_number": "972-463-1253",
            "fax_number": "214-607-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J3932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jwallace@jeffreyswallacemd.careclouddirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6800 Heritage Pkwy Ste 102",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750878746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summer Walker, LPC
• Wallace Orthopaedics and Sports Medicine
• Wallace Sports Medicine PA (Wallace Sports Medicine)
• Brenda Wallace, PA-C
• Brittany Wallace, D.P.T.
• Mary Elise Wallace, MSRD/LD
• Gabriella Walton
• Kathy L. Wanderer, L.AC.
• Daniel Enoch Wandrey, M.D.
• Erin Wandrey

• Orthopaedic Surgery Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.