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

Individual provider Family Medicine Physician · NPI 1063451144

Douglas C Wallace, MD is a Family Practice in Grove City, Ohio. Graduated from Ohio State University College of Medicine in 1982, 44 years ago. Practices with American Health Network of Ohio, LLC, a 55-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
44
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4072 Gantz Rd
Grove City, OH 43123-4816
Phone: (614) 875-0011
Fax: (614) 539-7287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.049780 (OH)

Record details

NPI number1063451144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address4072 Gantz Rd, Grove City, OH 43123-4816

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice American Health Network Of Ohio, Llc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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