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

Thomas Evans Wallace, MD

Individual provider Family Medicine Physician · NPI 1306882725

Thomas Evans Wallace, MD is a Family Practice in Williamsport, Pennsylvania. Graduated from Temple University School of Medicine in 1989, 37 years ago. Practices with Family Practice Center PC, a 347-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
37
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

145 Shaffer St
Williamsport, PA 17702-6727
Phone: (570) 327-1335
Fax: (570) 321-7800
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD045078L (PA)

Record details

NPI number1306882725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2006
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address7 Dock Hill Rd, Middleburg, PA 17842-8910

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Family Practice Center Pc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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