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

David Wallace, PA-C

Individual provider Surgical Physician Assistant · NPI 1720646672

David Wallace, PA-C is a Physician Assistant in Stamford, Connecticut. Qualified in 2019, 7 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Hospital Plz
Stamford, CT 06902-3602
Phone: (203) 276-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 130 Division St, Derby, CT 06418-1326 — (203) 732-1330
  • 34 Maple St, Norwalk, CT 06850-3894 — (203) 852-2000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4572 (CT)

Record details

NPI number1720646672
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021
Mailing address1 Hospital Plz, Stamford, CT 06902-3602

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stamford