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

Dr. Maegen J Wallace, MD

Individual provider Pediatric Orthopaedic Surgery Physician · NPI 1235393836

Dr. Maegen J Wallace, MD is an Orthopedic Surgery in Phoenix, Arizona. Graduated from University of Nebraska College of Medicine in 2004, 22 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Missouri and Nebraska.

Years since qualifying
22
Trained at
University of Nebraska College of Medicine
Licensed in
AZ, MO, NE
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Emile 42nd St, Omaha, NE 68198-0001 — (402) 955-8125

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 69950 (AZ)
Pediatric Orthopaedic Surgery Physician Taxonomy 207XP3100X · Licence 28403 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2008018502 (MO)

Record details

NPI number1235393836
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2008
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix