Kara M Wallace MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23260 Issued in AL

Legal business name

KARA M WALLACE MD PC

Practice address

4650 Whitesburg Dr SW
Suite 204
Huntsville, AL 35802-1670

Phone

(256) 533-5211

Fax

(256) 533-5084

NPI assigned

Feb 23, 2006

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen S. Anthony

Title

Office Manager

Phone

(256) 533-5211

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14805/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtenay Petty Simmons, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1174867089
  Medicare reassignment Care Compare group NPD
• Kara Wallace, M.D.

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1487844643
  Medicare reassignment Care Compare group NPD
• William Ernest English, M.D.

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1679549497
  NPD (past)
• Maria C Falcon, MD

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1780650762

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1952377616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 WHITESBURG DR SW",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021670",
            "telephone_number": "256-533-5211",
            "fax_number": "256-533-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 WHITESBURG DR SW",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021670",
            "telephone_number": "256-533-5211",
            "fax_number": "256-533-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA M WALLACE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-533-5211"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSAND BLUESHIELD",
            "identifier": "051510722",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mihir Kanitkar, M.D.
• Leela Samudra Kantamneni
• Sudheer R Kantharajpur, M.D., M.H.A
• Bhavini Jitesh Kar, M.D
• Jitesh K Kar, M.D., M.P.H.
• Anne Njoki Kariuki, CRNP
• Suresh Karne, MD PHD
• Karris Care, Inc. (Karris Care)
• Kati Jones Counseling, LLC
• Katie Odom LLC

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.