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Mr. John David Wallace
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NPI Number Detailed Information
Provider Information:
Name: | Mr. John David Wallace |
Gender: | M |
Provider License Number If Given: | 5601006422 |
NPI Information:
NPI: | 1487909511 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 7/15/2012 |
Last Update Date: | 9/20/2022 |
Provider Business Mailing Address:
Address: | 601 BRIDGE ST East Jordan, MI 49727 |
Phone Number: | 2315362206 |
Fax Number: | 2315367150 |
Provider Business Practice Location Address:
Address: | 601 BRIDGE ST East Jordan, MI 49727 |
Phone Number: | 2315362206 |
Fax Number: | 2315367150 |
Provider Taxonomy:
Primary: | 363A00000X |
Secondary (if any): | |
State: | MI |
Top Doctors in MI
About Mr. John David Wallace
Mr. John David Wallace (MR. JOHN DAVID WALLACE ) is A Physician Assistant Physician in East Jordan, MI.
The NPI Number for Mr. John David Wallace is 1487909511.
The current location address for Mr. John David Wallace is 601 BRIDGE ST East Jordan, MI 49727 and the contact number is 2315362206 and fax number is 2315367150.
The mailing address for Mr. John David Wallace is 601 BRIDGE ST East Jordan, MI 49727- 2315362206 (mailing address contact number - 2315362206).
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Provider Business Location on Map
FAQs:
What is the NPI Number for Mr. John David Wallace ?
Answer: The NPI Number for Mr. John David Wallace is 1487909511
Where is Mr. John David Wallace located?
Answer: Mr. John David Wallace is located at 601 BRIDGE ST East Jordan, MI 49727.
What is the specialty for Mr. John David Wallace ?
Answer: The Specialty of Mr. John David Wallace is A Physician Assistant Physician.
Are there any online reviews for Mr. John David Wallace ?
Answer: Not yet!
Are there any other health care providers in East Jordan, MI?
Answer: Yes, there are given below...
Medicare Part D Prescribers
Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.
Provider Specialty Type | Physician Assistant |
Source of Provider Specialty | |
Number of Medicare Part D Claims, Including Refills | 3139 |
Number of Standardized 30-Day Fills | 6778.7333333 |
Aggregate Cost Paid for All Claims | 326640.66 |
Number of Day's Supply for All Claims | 197094 |
Number of Medicare Beneficiaries | 288 |
Number of Claims, Including Refills, for Beneficiaries Age 65+ | 2294 |
Including Refills, for Beneficiaries Age 65+ | 5202.7 |
Beneficiaries Age 65+ | 213609.62 |
Number of Day's Supply for All Claims for Beneficaries Age 65+ | 152048 |
Number of Medicare Beneficiaries Age 65+ | 235 |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | |
Total Claims of Brand-Name Drugs | 448 |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
Total Claims of Generic Drugs, Including Refills | 2674 |
Aggregate Cost Paid for Generic Drugs | 86638.65 |
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst | |
Total Claims of Other Drugs, Including Refills | 17 |
Aggregate Cost Paid for Other Drugs | 626.38 |
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by MAPD Plans | 1106 |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | 100239.42 |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Standalone PDP Plans | 2033 |
Aggregate Cost Paid for Claims Filled by | 226401.24 |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 1418 |
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 199079.9 |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 1721 |
by Low-Income Subsidy | 127560.76 |
Total Claims of Opioid Drugs, Including | 90 |
Aggregate Cost Paid for Opioid Drugs | 3103.48 |
Opioid Claims | 26 |
Opioid_Tot_Clms divided by the Tot_Clms | 2.867155145 |
Total Claims of Long-Acting Opioid Drugs | |
Aggregate Cost Paid for Long-Acting Opioid | |
Number of Day's Supply of All Long-Acting | |
Long-Acting Opioid Claims | |
Opioid_LA_Tot_Clms divided by the | |
Total Claims of Antibiotic Drugs, Including | 66 |
Aggregate Cost Paid for Antibiotic Drugs | 800.31 |
Antibiotic Claims | 47 |
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst | |
Including Refills, for Beneficiaries Age 65+ | 33 |
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ | 4898.92 |
Reason for Suppression of Antpsyct_GE65_Tot_Benes | |
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims | |
Average Age of Beneficiaries | 70.184027778 |
Number of Beneficiaries Age Less Than 65 | 53 |
Number of Beneficiaries Age 65 to 74 | 137 |
Number of Beneficiaries Age 75 to 84 | 74 |
Number of Female Beneficiaries | 138 |
Number of Male Beneficiaries | 150 |
Number of Non-Hispanic White | 276 |
Number of Black or African American | |
Number of Asian Pacific Islander | 0 |
Number of Hispanic Beneficiaries | |
Number of American Indian/Alaskan NativeBeneficiaries | |
Number of Beneficiaries with Race Not | |
Only Entitlement | 210 |
Average Hierarchical Condition Category | 0.9503666509 |
More Providers in East Jordan , MI
Dr. William R. Webb
Family Medicine Physician
NPI Number: 1558399188
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Family Medicine Physician
NPI Number: 1558399188
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
East Jordan Family Health Center
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NPI Number: 1114958691
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Federally Qualified Health Center (FQHC)
NPI Number: 1114958691
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Rite Aid Of Michigan Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1427068246
Address: 250 SOUTH LAKE STREET SUITE A East Jordan, MI 49727 , Phone: 2315360901
Durable Medical Equipment & Medical Supplies
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Address: 250 SOUTH LAKE STREET SUITE A East Jordan, MI 49727 , Phone: 2315360901
Mr. William B Bice
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Address: 100 MAIN ST. BOX 1229 East Jordan, MI 49727 , Phone: 2315362207
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Address: 100 MAIN ST. BOX 1229 East Jordan, MI 49727 , Phone: 2315362207
Mr. Larry C Dittmar
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NPI Number: 1336244821
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
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Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Dr. Daniel J Thomas
Chiropractor
NPI Number: 1891893418
Address: 101 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362616
Chiropractor
NPI Number: 1891893418
Address: 101 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362616
Dr. Sara Elizabeth Hall
General Practice Dentistry
NPI Number: 1154490241
Address: 121 MAIN ST East Jordan, MI 49727 , Phone: 8655181132
General Practice Dentistry
NPI Number: 1154490241
Address: 121 MAIN ST East Jordan, MI 49727 , Phone: 8655181132
Brian K Sladics
General Practice Dentistry
NPI Number: 1134295777
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
General Practice Dentistry
NPI Number: 1134295777
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
City Of East Jordan
Land Ambulance
NPI Number: 1558428177
Address: 201 MAIN STREET East Jordan, MI 49727 , Phone: 2315367881
Land Ambulance
NPI Number: 1558428177
Address: 201 MAIN STREET East Jordan, MI 49727 , Phone: 2315367881
Dr. Laurie Ann Sherman
General Practice Dentistry
NPI Number: 1508991720
Address: 603 BRIDGE ST East Jordan, MI 49727 , Phone: 2315363000
General Practice Dentistry
NPI Number: 1508991720
Address: 603 BRIDGE ST East Jordan, MI 49727 , Phone: 2315363000
Mr. Adolph W. Cwik
Mental Health Counselor
NPI Number: 1629105937
Address: 7757 FERRY RD East Jordan, MI 49727 , Phone: 2315822293
Mental Health Counselor
NPI Number: 1629105937
Address: 7757 FERRY RD East Jordan, MI 49727 , Phone: 2315822293
Detroit Bio Medical Laboratories,Inc
Clinical Medical Laboratory
NPI Number: 1083832836
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2345367599
Clinical Medical Laboratory
NPI Number: 1083832836
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2345367599
Ms. Stacey Joanna Chipman
Professional Counselor
NPI Number: 1922203041
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315367499
Professional Counselor
NPI Number: 1922203041
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315367499
Mr. Samuel G Dyste
Medical Physician Assistant
NPI Number: 1902098395
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Medical Physician Assistant
NPI Number: 1902098395
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Dr. William Robert Desjardins III
Dentist
NPI Number: 1013172071
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
Dentist
NPI Number: 1013172071
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
Dr. Keith David Nowak
Pharmacist
NPI Number: 1003040635
Address: 250 S LAKE ST SUITE A East Jordan, MI 49727 , Phone: 2315360901
Pharmacist
NPI Number: 1003040635
Address: 250 S LAKE ST SUITE A East Jordan, MI 49727 , Phone: 2315360901
Dr. Joseph Arthur Caruso
Obstetrics & Gynecology Physician
NPI Number: 1578798740
Address: 2370 N M 66 HWY East Jordan, MI 49727 , Phone: 2315476642
Obstetrics & Gynecology Physician
NPI Number: 1578798740
Address: 2370 N M 66 HWY East Jordan, MI 49727 , Phone: 2315476642
Gregory J Klinker Dds, P.C.
General Practice Dentistry
NPI Number: 1194957357
Address: 108 S LAKE ST East Jordan, MI 49727 , Phone: 2315363307
General Practice Dentistry
NPI Number: 1194957357
Address: 108 S LAKE ST East Jordan, MI 49727 , Phone: 2315363307
William R. Desjardins, Dds, Pllc
General Practice Dentistry
NPI Number: 1700191418
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
General Practice Dentistry
NPI Number: 1700191418
Address: 101 MAPLE RIDGE DR East Jordan, MI 49727 , Phone: 2315362601
Access Dental-East Jordan, Pc
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Address: 108 S LAKE ST East Jordan, MI 49727 , Phone: 2315363307
General Practice Dentistry
NPI Number: 1780991976
Address: 108 S LAKE ST East Jordan, MI 49727 , Phone: 2315363307
Timothy Allen Clark
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NPI Number: 1437458692
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Pharmacist
NPI Number: 1437458692
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Jay Mcculloch
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NPI Number: 1689965832
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Pharmacist
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Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Kristina K Nowka
Physical Therapy Assistant
NPI Number: 1235404948
Address: 208 BRIDGE ST East Jordan, MI 49727 , Phone: 9899961098
Physical Therapy Assistant
NPI Number: 1235404948
Address: 208 BRIDGE ST East Jordan, MI 49727 , Phone: 9899961098
East Jordan Family Health Center, Inc
Primary Care Clinic/Center
NPI Number: 1366708257
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Primary Care Clinic/Center
NPI Number: 1366708257
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Mr. John David Wallace
Physician Assistant
NPI Number: 1487909511
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Physician Assistant
NPI Number: 1487909511
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Up North Counseling, Pllc
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NPI Number: 1932446176
Address: 3773 WILSON RD East Jordan, MI 49727 , Phone: 6165588418
Community/Behavioral Health Agency
NPI Number: 1932446176
Address: 3773 WILSON RD East Jordan, MI 49727 , Phone: 6165588418
Dr. Natasha Marie Faucher
General Practice Dentistry
NPI Number: 1265874960
Address: 603 BRIDGE ST East Jordan, MI 49727 , Phone: 2315363000
General Practice Dentistry
NPI Number: 1265874960
Address: 603 BRIDGE ST East Jordan, MI 49727 , Phone: 2315363000
Dr. David Gordon Reed
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NPI Number: 1659704633
Address: 3620 CHULA VISTA DR East Jordan, MI 49727 , Phone: 2315825833
Geriatric Medicine (Family Medicine) Physician
NPI Number: 1659704633
Address: 3620 CHULA VISTA DR East Jordan, MI 49727 , Phone: 2315825833
Susan Elizabeth Russell
Counselor
NPI Number: 1184045379
Address: 201 MAPLE ST East Jordan, MI 49727 , Phone: 2314595606
Counselor
NPI Number: 1184045379
Address: 201 MAPLE ST East Jordan, MI 49727 , Phone: 2314595606
Courtney Brinkman
Family Nurse Practitioner
NPI Number: 1568887909
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Family Nurse Practitioner
NPI Number: 1568887909
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Daniel J Thomas Dc
Chiropractor
NPI Number: 1134549553
Address: 101 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362616
Chiropractor
NPI Number: 1134549553
Address: 101 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362616
Occupational Planning And Placement
Community/Behavioral Health Agency
NPI Number: 1922418821
Address: 7757 FERRY RD East Jordan, MI 49727 , Phone: 2315822293
Community/Behavioral Health Agency
NPI Number: 1922418821
Address: 7757 FERRY RD East Jordan, MI 49727 , Phone: 2315822293
Jordan Valley Emergency Medical Service Authority
Ambulance
NPI Number: 1215327648
Address: 555 MAPLE ST East Jordan, MI 49727 , Phone: 2315367881
Ambulance
NPI Number: 1215327648
Address: 555 MAPLE ST East Jordan, MI 49727 , Phone: 2315367881
Sasha Lash
Specialist
NPI Number: 1164808242
Address: 9285 GRAHAM RD East Jordan, MI 49727 , Phone: 2313428886
Specialist
NPI Number: 1164808242
Address: 9285 GRAHAM RD East Jordan, MI 49727 , Phone: 2313428886
Dr. Jesse Leigh Haines
Pharmacist
NPI Number: 1962875989
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Pharmacist
NPI Number: 1962875989
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Kevin King
Professional Counselor
NPI Number: 1114384633
Address: 117 S LAKE ST East Jordan, MI 49727 , Phone: 2316758228
Professional Counselor
NPI Number: 1114384633
Address: 117 S LAKE ST East Jordan, MI 49727 , Phone: 2316758228
Joelle Woodruff
Family Nurse Practitioner
NPI Number: 1033566591
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Family Nurse Practitioner
NPI Number: 1033566591
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Cynthia Ann Pepin
Clinical Social Worker
NPI Number: 1770930943
Address: 2765 S M 66 East Jordan, MI 49727 , Phone: 2318812108
Clinical Social Worker
NPI Number: 1770930943
Address: 2765 S M 66 East Jordan, MI 49727 , Phone: 2318812108
Rite Aid
Pharmacist
NPI Number: 1245784685
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Pharmacist
NPI Number: 1245784685
Address: 250 S LAKE ST East Jordan, MI 49727 , Phone: 2315360901
Joseph Peter Doyle III
Pharmacist
NPI Number: 1538616628
Address: 250 S LAKE ST STE A East Jordan, MI 49727 , Phone: 2315360901
Pharmacist
NPI Number: 1538616628
Address: 250 S LAKE ST STE A East Jordan, MI 49727 , Phone: 2315360901
Michael Gee
Professional Counselor
NPI Number: 1982153045
Address: 951 MILL ST East Jordan, MI 49727 , Phone: 2315474085
Professional Counselor
NPI Number: 1982153045
Address: 951 MILL ST East Jordan, MI 49727 , Phone: 2315474085
Jessica Beecham Tice
Mental Health Counselor
NPI Number: 1841741154
Address: 2294 6 MILE LAKE RD East Jordan, MI 49727 , Phone: 2314974948
Mental Health Counselor
NPI Number: 1841741154
Address: 2294 6 MILE LAKE RD East Jordan, MI 49727 , Phone: 2314974948
Casey Lynn Keane
Athletic Trainer
NPI Number: 1275054876
Address: 656 FOREST LAKE LN East Jordan, MI 49727 , Phone: 2316767639
Athletic Trainer
NPI Number: 1275054876
Address: 656 FOREST LAKE LN East Jordan, MI 49727 , Phone: 2316767639
Jennifer Sampson
Family Nurse Practitioner
NPI Number: 1124530449
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Family Nurse Practitioner
NPI Number: 1124530449
Address: 601 BRIDGE ST East Jordan, MI 49727 , Phone: 2315362206
Dr. Jaleesa O'Neal
Physical Therapist
NPI Number: 1881195824
Address: 100 MAIN ST STE 9 East Jordan, MI 49727 , Phone: 2315361451
Physical Therapist
NPI Number: 1881195824
Address: 100 MAIN ST STE 9 East Jordan, MI 49727 , Phone: 2315361451
Kathleen Sue Hill
Physical Rehabilitation Occupational Therapist
NPI Number: 1255835815
Address: 1728 S PENINSULA RD East Jordan, MI 49727 , Phone: 2315352286
Physical Rehabilitation Occupational Therapist
NPI Number: 1255835815
Address: 1728 S PENINSULA RD East Jordan, MI 49727 , Phone: 2315352286
Mr. Ferdinand Chiang Uy
Geriatric Physical Therapist
NPI Number: 1881190361
Address: 1728 S PENINSULA RD East Jordan, MI 49727 , Phone: 2315362286
Geriatric Physical Therapist
NPI Number: 1881190361
Address: 1728 S PENINSULA RD East Jordan, MI 49727 , Phone: 2315362286
Richard L Mason
Pharmacist
NPI Number: 1427534924
Address: 250 S LAKE STREET East Jordan, MI 49727 , Phone: 2315369010
Pharmacist
NPI Number: 1427534924
Address: 250 S LAKE STREET East Jordan, MI 49727 , Phone: 2315369010
Monarch Family Chiropractic Llc
Clinic/Center
NPI Number: 1831663475
Address: 306 MAIN ST East Jordan, MI 49727 , Phone: 2316750733
Clinic/Center
NPI Number: 1831663475
Address: 306 MAIN ST East Jordan, MI 49727 , Phone: 2316750733
Dr. Martina Peterson
Chiropractor
NPI Number: 1033683677
Address: 306 MAIN ST East Jordan, MI 49727 , Phone: 2316750733
Chiropractor
NPI Number: 1033683677
Address: 306 MAIN ST East Jordan, MI 49727 , Phone: 2316750733
Mr. John David Wallace in Other Directories
Provider don't have other directory link yet.