AMY BLAISING WALLACE, D.O. PLC
NPI 1619171519
Family Medicine in Owosso, MI

NPI Status: Active since June 13, 2007

Contact Information

818 W KING ST
STE 103
OWOSSO, MI
ZIP 48867
Phone: (989) 723-8333

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  • Organization
  • Family Medicine

About AMY BLAISING WALLACE, D.O. PLC

This page provides the complete NPI Profile along with additional information for Amy Blaising Wallace, D.o. Plc, a primary care provider established in Owosso, Michigan operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1619171519 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 5101013086 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amy Blaising Wallace D.o. (Owner)

NPI
1619171519
Provider Name
AMY BLAISING WALLACE, D.O. PLC
Entity Type
Organization
Location Address
818 W KING ST STE 103 OWOSSO, MI 48867
Location Phone
(989) 723-8333
Mailing Address
818 W KING ST STE 103 OWOSSO, MI 48867
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-13-2007
Last Update Date
10-09-2007
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A primary care provider (PCP) like Amy Blaising Wallace, D.o. Plc 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101013086
License State
MI
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY BLAISING WALLACE D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(989) 723-8333

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
G83975MEDICARE UPIN (02)MI 

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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.
1619171519
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262927252
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 2 + 7 + 2 + 5 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1619171519 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003865205 CATHERINE KERR WINSLOW MD
Individual
Obstetrics & Gynecology818 W KING ST SUITE 300
OWOSSO, MI 48867
(989) 729-4300
1871699371MARIO CHAVES PC
Organization
Obstetrics & Gynecology818 W KING ST SUITE 103
OWOSSO, MI 48867
(989) 729-4300
1265621577 CARLIE M BENINGO PA
Individual
Physician Assistant818 W KING ST STE 103
OWOSSO, MI 48867
(989) 723-8333
1447420625RED CEDAR EAR NOSE THROAT & AUDIOLOGY P.L.L.C.
Organization
Specialist818 W KING ST SUITE 301
OWOSSO, MI 48867
(989) 729-4800
1316051949DR. SHANNON THOMAS RADGENS D.O.
Individual
Otolaryngology (Plastic Surgery within the Head & Neck)818 W KING ST SUITE 301
OWOSSO, MI 48867
(989) 729-4800
1598775702DR. MANDELL TONY BOOKMAN M.D.
Individual
Urology818 W KING ST SUITE 202
OWOSSO, MI 48867
(989) 723-1529
1063527182 WALID M AZMEH M.D.
Individual
Surgery818 W KING ST STE 201
OWOSSO, MI 48867
(989) 723-3168
1104909753 MARIE L SPIESS PA-C
Individual
Physician Assistant818 W KING ST STE 201
OWOSSO, MI 48867
(989) 723-3168
1790909711DR. RANY A ABURASHED D.O
Individual
Psychiatry & Neurology (Neurology)818 W KING ST STE 102
OWOSSO, MI 48867
(989) 723-1390
1225141559 RICHARD KENNETH SCHULZ D.O.
Individual
Surgery818 W KING ST SUITE 201
OWOSSO, MI 48867
(989) 723-3168
1013678010 MARKUS BYRON
Individual
Nurse Practitioner (Family)818 W KING ST
OWOSSO, MI 48867
(989) 723-2299
1093796476 SUZANNE A LAW D.O.
Individual
Surgery818 W KING ST STE 201
OWOSSO, MI 48867
(989) 723-3168

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619171519, enumerated in the NPI registry as an "organization" on June 13, 2007

The provider is located at 818 W King St Ste 103 Owosso, Mi 48867 and the phone number is (989) 723-8333

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

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 June 13, 2007. 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.