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

Jodi Beth Wallis, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1811135684

Jodi Beth Wallis, DO is an Obstetrics & Gynecology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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.

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Practice location Address checks out

725 Irving Ave Ste 600
Syracuse, NY 13210-1603
Phone: (315) 464-5162
Fax: (315) 464-4613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 271804 (NY)

Record details

NPI number1811135684
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 1, 2009
Last updated in NPPESNovember 14, 2013
Mailing address725 Irving Ave, Ste 600, Syracuse, NY 13210-1603

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