Scott Andrew Wallace, MD
Scott Andrew Wallace, MD is a Preventive Medicine in Annapolis, Maryland. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 14
- Licensed in
- MD
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
695 Kinkaid RdAnnapolis, MD 21402-1006
Phone: (410) 320-0010
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preventive Medicine/Occupational Environmental Medicine Physician (primary) | Taxonomy 2083P0500X · Licence D76451 (MD) |
|---|---|
| Aerospace Medicine Physician | Taxonomy 2083A0100X · Licence D0076451 (MD) |
Record details
| NPI number | 1275809899 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2012 |
| Last updated in NPPES | July 1, 2026 |
| Certification date | July 1, 2026 |
| Mailing address | 8901 Wisconsin Ave Bldg 85t, Bethesda, MD 20889-0004 |
Medicare enrollment
| Medicare specialty | PREVENTIVE MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Not indicated |