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Physician Profile

Jonathan W. Wallace, MD

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Where to find Jonathan W. Wallace, MD

About Dr. Wallace

Jonathan W. Wallace, MD practices family medicine in Boise, ID. Jonathan is a 2023 graduate of Oregon Health Sciences University School of Medicine. Jonathan is also listed as specializing in student in an organized health care education program. The provider's National Provider Identifier (NPI) is 1487342119.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Family Medicine (Primary)

Credentials & Licensing

ID licenceAs reported to the NPI registry
No. 2581214As reported
WA licenceAs reported to the NPI registry
No. ML61440736As reported
NPINational Provider Identifier
1487342119Issued 2023

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Wallace specialize in?

Dr. Wallace is a family doctor in Boise, ID. That is the designation recorded for this NPI in the federal registry, where it is listed as “Family Medicine”.

NPI registry

Where is Dr. Wallace located?

Dr. Wallace is listed at 777 N Raymond St, Boise, ID 83704. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Wallace's phone number?

The number on file is (208) 514-2500. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Wallace?

Dr. Wallace's National Provider Identifier is 1487342119. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Wallace go to medical school?

Dr. Wallace attended Oregon Health Sciences University School of Medicine, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Wallace have?

Dr. Wallace has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

Is Dr. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Wallace. If this is you, claiming it is free.

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