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

Molly Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174488423

Molly Wallace is a Physician Assistant in Columbus, Ohio. Qualified in 2025, 1 year ago. Practices with Mid-Ohio Emergency Services, LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3525 Olentangy River Rd
Columbus, OH 43214-3937
Phone: (614) 566-1997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.010011RX (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174488423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2025
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address1482 Aschinger Blvd, Columbus, OH 43212-2690

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mid-Ohio Emergency Services, Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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