MR. ROY ERICKSON WALLACE PA
NPI 1134191885
Physician Assistant in Tamc, HI

NPI Status: Active since February 06, 2006

Contact Information

1 JARRETT WHITE RD
TAMC, PERSONNEL DIVISION
TAMC, HI
ZIP 96859
Phone: (808) 433-1790

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  • Individual
  • Male
  • Physician Assistant

About ROY WALLACE

This page provides the complete NPI Profile along with additional information for Roy Wallace, a primary care provider established in Tamc, Hawaii with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1134191885 assigned on February 2006. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1134191885
Provider Name
MR. ROY ERICKSON WALLACE PA
Gender
Male
Entity Type
Individual
Location Address
1 JARRETT WHITE RD TAMC, PERSONNEL DIVISION TAMC, HI 96859
Location Phone
(808) 433-1790
Mailing Address
784 RINGOLD ST APT 11 WAHIAWA, HI 96786
Mailing Phone
(808) 351-7495
Is Sole Proprietor?
Yes
Enumeration Date
02-06-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Roy Wallace sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134191885
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164292816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 9 + 2 + 8 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1134191885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548268188DR. MILLARD DALTON BROWN III M.D.
Individual
Psychiatry & Neurology (Psychiatry)1 JARRETT WHITE RD
TAMC, HI 96859
(808) 433-5780
1952398455 JOYDIP ROY MD
Individual
Hospitalist1 JARRETT WHITE RD DEPT OF MEDICINE (MCHK-DM)
TRIPLER ARMY MEDICAL CENTER, HI 96859
(808) 433-5720
1164411872MS. MARY STONE CONNOLLY RN
Individual
Registered Nurse1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
(808) 433-2460
1235128836MS. ERIN LEE FUHRMAN RN
Individual
Registered Nurse (Medical-Surgical)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
(808) 433-2460
1922097112 LORI ANN FRITZ CRNA
Individual
Nurse Anesthetist, Certified Registered1 JARRETT WHITE RD ATTN: MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-2460
1679562656 REGINALD JAMES RUBIN SR. LPN
Individual
Licensed Practical Nurse1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-2460
1427047455DR. ROBERT LOUIS SHEFFLER MD
Individual
Internal Medicine (Hematology & Oncology)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER, ATTN:MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-2460
1679563662MR. WILLIAM RICHARDSON SPALDING RN
Individual
Registered Nurse1 JARRETT WHITE RD AMC
TAMC, HI 96859
(808) 433-6641
1932199908DR. JOSEPH SERGIO GOMES PINA MD
Individual
Internal Medicine (Pulmonary Disease)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TAMC, HI 96859
(808) 433-5720
1275523250DR. JEFFREY L BERENBERG MD
Individual
Internal Medicine (Hematology & Oncology)1 JARRETT WHITE RD MCHK-DMO, TAMC
TAMC, HI 96859
(808) 433-4089
1922098847MRS. CATHERINE MANUEL MACDONALD ARNP
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN:MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-2460
1104816818DR. CHRISTINA BELNAP M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
(808) 433-2460
1639169402 GERARD PASQUALE DELISIO MFT
Individual
Marriage & Family Therapist1 JARRETT WHITE RD TRIPLER ARMY MEDIAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-6081
1386634095 LISA M LUTE REGISTERED NURSE
Individual
Registered Nurse1 JARRETT WHITE RD
TAMC, HI 96859
(808) 433-3099
1093705709MR. JESSE KENNETH ORTEL MPT, OCS, CERT MDT
Individual
Physical Therapist (Orthopedic)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
(808) 433-2460
1861482481DR. LANCE E CORDONI M.D.
Individual
Pediatrics1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER
TRIPLER AMC, HI 96859
(808) 433-2460
1689664161 DORIS C DONCH RD CNSD
Individual
Dietitian, Registered1 JARRETT WHITE RD TRIPLER AMC
TRIPLER AMC, HI 96859
(808) 433-2386
1588654065 PANDY CHING LCSW
Individual
Social Worker (Clinical)1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TRIPLER AMC, HI 96859
(808) 433-2460
1598755175DR. GUY HIDEO TAKAHASHI MD
Individual
Radiology (Diagnostic Radiology)1 JARRETT WHITE RD
TAMC, HI 96859
(808) 433-6669
1639169378 MARC HUNT MD
Individual
Internal Medicine1 JARRETT WHITE RD
HONOLULU, HI 96859
(808) 433-6403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134191885, enumerated in the NPI registry as an "individual" on February 06, 2006

The provider is located at 1 Jarrett White Rd Tamc, Personnel Division Tamc, Hi 96859 and the phone number is (808) 433-1790

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on February 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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