Wallace P Berkowitz MD LTD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

WALLACE P BERKOWITZ MD LTD

Practice address

6651 Chippewa
Ste 324
St Louis, MO 63109-2538

Phone

(314) 647-8895

Fax

(314) 647-8898

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Wallace P Berkowitz, MD

Title

President Owner

Phone

(314) 647-8895

Specialties & licenses 2

Addresses

Other identifiers 10

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry Kay Pickett, AU.D.

  • Audiologist
  • Kirkwood, MO
  • NPI 1972774669
  NPD (past)
• Nancy M Richman, AU.D.

  • Audiologist
  • Saint Louis, MO
  • NPI 1700820982
  NPD (past)
• Brenda J Tolbert, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • St. Louis, MO
  • NPI 1881842680
  NPD (past)
• John W Galbreath, DC

  • Chiropractor
  • Alton, IL
  • NPI 1215095690
  NPD (past)
• Paige Lee Hand, DC

  • Chiropractor
  • Swansea, IL
  • NPI 1609703719
  NPD (past)
• Gail Ann Meese, D.C.

  • Chiropractor
  • Belleville, IL
  • NPI 1861598393
  NPD (past)
• Katelin Lee Ann Russell, DC

  • Chiropractor
  • Swansea, IL
  • NPI 1659140796
  NPD (past)
• Alex Taylor, DC

  • Chiropractor
  • Belleville, IL
  • NPI 1730644147
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1952387516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA",
            "address_2": "STE 324",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-647-8895",
            "fax_number": "314-647-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA",
            "address_2": "STE 324",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631092538",
            "telephone_number": "314-647-8895",
            "fax_number": "314-647-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE P BERKOWITZ MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "314-647-8895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R4234",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "100287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MCR SUBMITTER ID",
            "identifier": "M2229",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "08200436",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2230168",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4376271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "6670",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE ALL CHOICE BASIC",
            "identifier": "6670",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE NUMBER",
            "identifier": "R4234",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1007077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "119451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Lewis Wall, MD
• Megan Wall, DPT
• Tyler James Wall, MD
• Wallace Family Adult Daycare
• Wallace Family in Home Health LLC
• Andrew Blake Wallace, M.D.
• Angela Wallace, LPC
• Ashleigh Wallace, PHARMD
• Cassandra Marie Wallace, PNP
• Cherry Wallace, FNP

• Otolaryngology Physician in St Louis, MO
• Providers in St Louis, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.