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

Dr. Mark Allen Wallace, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1952591828

Dr. Mark Allen Wallace, DO is an Otolaryngology in Rockport, Maine. Qualified in 2002, 24 years ago. Practices with Commonwealth Healthcare Corporation, a 80-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maine and Michigan.

Years since qualifying
24
Licensed in
ME, MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

15 Anchor Dr Ste 102
Rockport, ME 04856-3847
Phone: (207) 301-3660
Fax: (207) 301-5160
Show map & directions

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

Additional practice locations (2)

  • 116 Northport Ave Ste 118, Belfast, ME 04915-6096 — (207) 505-4367
  • 333 Magazine St, Sault Sainte Marie, MI 49783-1867 — (906) 259-0244

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence DO3910 (ME)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 5101015234 (MI)
Otolaryngology Physician Taxonomy 207Y00000X · Licence DO3910 (ME)

Record details

NPI number1952591828
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address15 Anchor Dr Ste 102, Rockport, ME 04856-3847

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Commonwealth Healthcare Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare