DAVID WALLACK M.D.
NPI 1558310706
Internal Medicine - Geriatric Medicine in Lakewood, CO

NPI Status: Active since May 08, 2006

Contact Information

11700 W 2ND PL
#4-450
LAKEWOOD, CO
ZIP 80228
Phone: (303) 825-1234
Fax: (720) 321-8121

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  • Individual
  • Male
  • Internal Medicine
  • Geriatric Medicine

About DAVID WALLACK

This page provides the complete NPI Profile along with additional information for David Wallack, an internist established in Lakewood, Colorado with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1558310706 assigned on May 2006. The practitioner's primary taxonomy code is 207RG0300X with license number 17055 (CO). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1558310706
Provider Name
DAVID WALLACK M.D.
Gender
Male
Entity Type
Individual
Location Address
11700 W 2ND PL #4-450 LAKEWOOD, CO 80228
Location Phone
(303) 825-1234
Location Fax
(720) 321-8121
Mailing Address
11700 W 2ND PL #4-450 LAKEWOOD, CO 80228
Mailing Phone
(303) 825-1234
Mailing Fax
(720) 321-8121
Is Sole Proprietor?
No
Enumeration Date
05-08-2006
Last Update Date
03-05-2013
Code Navigator

An internist like David Wallack is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Geriatric Medicine

Taxonomy Code
207RG0300X
Type
Allopathic & Osteopathic Physicians
License No.
17055
License State
CO
Taxonomy Description
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D23181MEDICARE UPIN (02)CO 
01170554MEDICAID (05)CO 

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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.
1558310706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2510861070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 1 + 0 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1558310706 is valid because the calculated check digit 6 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
1962423533MS. LESLIE A. MC COWAN RN, GNP
Individual
Nurse Practitioner (Gerontology)11700 W 2ND PL MEDICAL PLAZA II, SUITE 4-450
LAKEWOOD, CO 80228
(303) 825-1234
1568723641SAINT ANTHONY'S HOSPITAL
Organization
General Acute Care Hospital11700 W 2ND PL SUITE 310
LAKEWOOD, CO 80228
(720) 321-8311
1871539627DR. DAVID DUANE BECK MD
Individual
Surgery11700 W 2ND PL MEDICAL PLAZA 2, STE. 210
LAKEWOOD, CO 80228
(720) 321-8080
1972628998DR. JODI A CHAMBERS M.D.
Individual
Surgery11700 W 2ND PL SUITE 210
LAKEWOOD, CO 80228
(720) 321-8100
1841584885 STEPHANIE SWALE PHARM D
Individual
Pharmacist11700 W 2ND PL SUITE 235
LAKEWOOD, CO 80228
(720) 321-8290
1457783235TOTAL RENAL CARE INC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)11700 W 2ND PL STE 325
LAKEWOOD, CO 80228
(303) 987-4672
1821094871DR. TAKESHI KATAOKA M.D.,F.A.C.C.
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1952307829DR. MICHAEL J PTASNIK M.D.,F.A.C.C.
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1487650388DR. JOHN THOMAS SVINARICH M.D., F.A.C.C.
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1730204678DR. LAWRENCE LAZAR MD
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1467787457MS. HEATHER MICHELLE CALL PA-C
Individual
Physician Assistant (Medical)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1437295698DR. NORMAN ANTHONY GRAY JR. MD
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1487813721DR. KRISTIN L THANAVARO MD
Individual
Internal Medicine (Cardiovascular Disease)11700 W 2ND PL SUITE 350
LAKEWOOD, CO 80228
(303) 595-2727
1609254929DR. SEPEHR PAZAND PHARMD
Individual
Pharmacist11700 W 2ND PL SUITE 235
LAKEWOOD, CO 80228
(720) 321-8435
1598727166DR. RICHARD G LOVATO M.D.
Individual
Surgery11700 W 2ND PL SUITE 210
LAKEWOOD, CO 80228
(720) 321-8080
1033374186DR. PATRICK DONOHUE RUDERSDORF M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)11700 W 2ND PL SUITE 280
LAKEWOOD, CO 80228
(720) 321-8680
1306155957 CHRISTINE ANN BIRCHEM PHYSICAN ASSISTANT
Individual
Physician Assistant (Surgical)11700 W 2ND PL SUITE 280
LAKEWOOD, CO 80228
(720) 321-8680
1689045932MS. JEANINE ASHLEY MS
Individual
Genetic Counselor, MS11700 W 2ND PL MEDICAL PLAZA 2, SUITE 100
LAKEWOOD, CO 80228
(720) 321-8383
1912970682 JANE SOON-MEE KIM M.D.
Individual
Family Medicine (Geriatric Medicine)11700 W 2ND PL SUITE 450
LAKEWOOD, CO 80228
(303) 825-1234
1952692394 PETER JAMES MCGUIRE MD
Individual
Otolaryngology11700 W 2ND PL STE 435
LAKEWOOD, CO 80228
(720) 321-8410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558310706, enumerated in the NPI registry as an "individual" on May 08, 2006

The provider is located at 11700 W 2nd Pl #4-450 Lakewood, Co 80228 and the phone number is (303) 825-1234

The provider's speciality is Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 08, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.