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

Ryan James Wallace

Individual provider Nurse Practitioner · NPI 1679021497

Ryan James Wallace is a Nurse Practitioner in Akron, Ohio. Qualified in 2016, 10 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio and South Carolina.

Years since qualifying
10
Licensed in
OH, SC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3535 Granger Rd
Akron, OH 44333-1538
Phone: (330) 331-7207
Fax: (330) 331-7587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 171 Ashley Ave, Charleston, SC 29425-1900 — (843) 792-1414

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.020062 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 25705 (SC)

Record details

NPI number1679021497
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 21, 2016
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023
Mailing address3535 Granger Rd, Akron, OH 44333-1538

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Akron