Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly M Wallis, MS, RPA-C

Individual provider Physician Assistant · NPI 1992030316

Carly M Wallis, MS, RPA-C is a Physician Assistant in Zanesville, Ohio. Qualified in 2008, 18 years ago. Practices with Center for Surgical Dermatology Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

817 Forest Ave
Zanesville, OH 43701-2820
Phone: (740) 454-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50005259RX (OH)

Record details

NPI number1992030316
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RPA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2009
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Center For Surgical Dermatology Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Zanesville