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

Marc A Wallace, DO

Individual provider Diagnostic Radiology Physician · NPI 1841299146

Marc A Wallace, DO is a Diagnostic Radiology in Johnstown, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 1999, 27 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
27
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2005
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

138 Platt Dr
Johnstown, PA 15904-4305
Phone: (412) 478-6416
Fax: (412) 387-5010
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS00848L (PA)

Record details

NPI number1841299146
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address138 Platt Dr, Johnstown, PA 15904-4305

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 1999 (27 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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