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

Dr. Suemoy S Wallace, MD

Individual provider Specialist · NPI 1184850885

Dr. Suemoy S Wallace, MD is a General Surgery in Phoenix, Arizona. Qualified in 2004, 22 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2009
Specialties on file
5
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

1010 E McDowell Rd Ste 103
Phoenix, AZ 85006-2607
Phone: (800) 991-6117
Fax: (888) 812-8191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 49311 (AZ)
Specialist Taxonomy 174400000X · Licence 49311 (AZ)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 49311 (AZ)
Phlebology Physician Taxonomy 202K00000X · Licence 49311 (AZ)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 49311 (AZ)

Record details

NPI number1184850885
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2009
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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