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

Dr. Noah Isadore Wallace, DO

Individual provider Family Medicine Physician · NPI 1255713301

Dr. Noah Isadore Wallace, DO is a Family Practice in Falls Church, Virginia. Qualified in 2015, 11 years ago. Practices with Patient First Richmond Medical Group PLLC, a 320-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015
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

502 W Broad St Ste 2
Falls Church, VA 22046-3206
Phone: (571) 421-8431
Show map & directions

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

Additional practice locations (2)

  • 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 — (240) 612-4866
  • 201 S Main St, Danville, VA 24541-2927 — (434) 799-4488

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102205033 (VA)

Record details

NPI number1255713301
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESMay 23, 2025
Certification dateMay 13, 2025
Mailing address633 Medical Group, 77 Nealy Ave, Langley Afb, VA 23665

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Patient First Richmond Medical Group Pllc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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