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

Dr. Thomas Witherspoon Wallace, MD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1295807733

Dr. Thomas Witherspoon Wallace, MD is a Cardiac Electrophysiology in Little Rock, Arkansas. Graduated from Emory University School of Medicine in 2002, 24 years ago. Practices with St Vincent Infirmary Medical Center, a 46-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
24
Trained at
Emory University School of Medicine
Licensed in
AR
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

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Show map & directions

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

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence E-6988 (AR)

Record details

NPI number1295807733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 13, 2006
Last updated in NPPESJune 21, 2016

Medicare enrollment

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

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice St Vincent Infirmary Medical Center — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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