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

Individual provider Internal Medicine Physician · NPI 1841213667

Waymon L Wallace, MD is an Internal Medicine in Cincinnati, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 1995, 31 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2006
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

1577 Goodman Ave Ste A
Cincinnati, OH 45224-1044
Phone: (513) 403-3762
Fax: (513) 521-6403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5150 Sandy Ln, Fairfield, OH 45014-2738 — (513) 896-9595

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35076674 (OH)

Record details

NPI number1841213667
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 40535, Cincinnati, OH 45240-0535

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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