Stephanie Wallace
Medical Specialty
Professional ID
- NPI: 1518299197
- PECOS ID: 9638368129
- Enrollment ID: I20110114000279
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2009
Hospital Service
- Hospital CCN1: 210044
- Business Name (LBN)1: Greater Baltimore Medical Center
- Hospital CCN2: 210001
- Business Name (LBN)2: Meritus Medical Center
Medical Practices
- Organization Name: American Anesthesiology Of Maryland Pc
- Group Practice ID assigned by PECOS: 7810899747
- Number of Group Practice member: 59
Location
- Address1: 6701 N Charles St
- Address2: Suite 4226
- City: Towson
- State: Maryland
- Zip Code: 21204
- Phone Number: (410)296-4616203
Medical Practices
- Organization Name: First Colonies Anesthesia Associates, Llc
- Group Practice ID assigned by PECOS: 8426039744
- Number of Group Practice member: 175
Location
- Address1: 11116 Medical Campus Rd
- Address2:
- City: Hagerstown
- State: Maryland
- Zip Code: 21742
- Phone Number: (301)790-8000
Location
- Address1: 8322 Bellona Ave
- Address2:
- City: Towson
- State: Maryland
- Zip Code: 21204
- Phone Number:
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):