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

Shannon Leigh Wallace, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1205102092

Shannon Leigh Wallace, MD is an Obstetrics/Gynecology in Cleveland, Ohio. Graduated from University of Colorado School of Medicine, Aurora in 2012, 14 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Cleveland Clinic 9500 Euclid Ave
Cleveland, OH 44195-1705
Phone: (216) 636-8926
Show map & directions

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

Additional practice locations (1)

  • 300 Pasteur Dr # S285, Stanford, CA 94305-2200 — (650) 497-8753

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence A149644 (CA)

Record details

NPI number1205102092
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2012 (14 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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