Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wallace Physician Services LLC

Organization Internal Medicine Physician · NPI 1144527870

Wallace Physician Services LLC is an Internal Medicine Physician in Cincinnati, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1577 Goodman Ave Ste A
Cincinnati, OH 45224-1044
Phone: (513) 403-3762
Fax: (513) 521-6403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11414 Odessa Ct, Cincinnati, OH 45240-2847 — (859) 384-9045

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35-076674 (OH)

Record details

NPI number1144527870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Waymon Wallace — President · (513) 674-9601
NPI enumeratedFebruary 15, 2011
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 40535, Cincinnati, OH 45240-0535

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