Seth Browning Wallace
Family Medicine (Sleep Medicine)

Address: 1350 N 500 E, Logan, UT 84341-2400
Phone: 4357161980

Seth Browning Wallace (NPI# 1245441971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1245441971
Entity Type Individual
Full Name Seth Browning Wallace
Credential M.D.
Gender Male
Practice Address 1350 N 500 E
Logan
UT 84341-2400
Practice Telephone 4357161980
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-24
Last Update Date 2016-03-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 6201987-1205 UT
Yes 207QS1201X Family Medicine · Sleep Medicine Allopathic & Osteopathic Physicians 6201987-1205 UT

Other Providers SETH WALLACE

NPI Name Taxonomy Address Enumeration
1487169215 Seth Wallace Social Worker 5 Science Park, New Haven, CT 06511-1966 2017-12-01
1982894564 Seth Willard Wallace Counselor 1224 Farmington Ave, Unit D, Kensington, CT 06037-2360 2007-07-30

Physician Overview

NPI 1245441971
PAC ID by PECOS 5799878567
Professional Enrollment ID I20070910000938
Full Name Seth Browning Wallace
Organization Legal Name IHC HEALTH SERVICES INC
Phone Number 8017796200
Gender M
Medical School TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty SLEEP MEDICINE
Secondary Specialties FAMILY PRACTICE
Group Practice PAC ID 1850209420
Number of Group Practice Members 2038
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460015 LOGAN REGIONAL HOSPITAL
460004 MCKAY DEE HOSPITAL

Office Location

Street Address 1350 N 500 E
City LOGAN
State UT
Zip Code 84341-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295707677 Corey Wyn Walker Internal Medicine 1350 N 500 E, Logan, UT 84341-2400 2006-02-01
1154826618 Ihc Health Services Inc Clinic/Center 1350 N 500 E, Logan, UT 84341-2400 2018-03-27
1801303003 Becky Jean Rasmuson Nurse Practitioner 1350 N 500 E, Logan, UT 84341 2018-01-09
1891230959 Julianne Fullmer Physician Assistant 1350 N 500 E, Suite 310, Logan, UT 84341-2400 2016-12-28
1033572193 Ihc Health Services Inc Clinic/Center 1350 N 500 E, Logan, UT 84341-2400 2016-04-05
1558722900 Ihc Health Services Inc Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2016-03-14
1326420639 Brian Ralph Balls Physical Therapy Assistant 1350 N 500 E, Suite 120, Logan, UT 84341-2400 2015-06-23
1073994810 Benjamin Seale Physician Assistant 1350 N 500 E, Logan, UT 84341-2400 2015-06-17
1659760296 Hollie Kay Callaway Psychologist 1350 N 500 E, Logan, UT 84341-2400 2015-01-20
1699172122 Ihc Health Services Inc Dermatology 1350 N 500 E, Budge Clinic Dermatology, Logan, UT 84341-2400 2014-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043702046 Eye Pros of Logan LLC Optometrist 1475 N Main St Ste 103, Logan, UT 84341 2018-06-05
1275050452 Rylie Jeanne Cook Student in an Organized Health Care Education/Training Program 11 Aggie Village Apt. J, Logan, UT 84341 2017-08-28
1699226605 Ihc Health Services Inc General Acute Care Hospital 500 E. 1400 N., Logan, UT 84341 2016-10-14
1093262156 Jessica Lynn Mcgarry Social Worker 1040 N 130 W, Apt 100, Logan, UT 84341 2016-09-07
1437517810 Cache Internal Medicine Inc Internal Medicine 40 West 1250 North, Suite 8a, Logan, UT 84341 2016-02-01
1740663566 Paul R Gregory Occupational Therapy Assistant 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 2015-06-30
1568863264 Charity Cheri Goodrich Counselor 186 E 1800 N, North Logan, UT 84341 2014-09-12
1851708846 Bradley Budge Optometrist 535 E 1400 N Ste 130, Logan, UT 84341 2014-07-22
1902220239 Work Injury Solutions Inc. Clinic/Center 630 E 1400 N Ste 140, Logan, UT 84341 2014-02-06
1669747804 Ronald J Payne Internal Medicine 1726 North 1850 East, North Logan, UT 84341 2012-03-21
Find all providers in zip 84341

Taxonomy Information

Taxonomy Code 207QS1201X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sleep Medicine

Taxonomy Definition

A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033646559 Somnilogix, LLC Family Medicine Somnilogix, LLC, 9425 S Union Sq # 103, Sandy, UT 84070-3402 2017-05-15
1740582618 Diabetes Health Management Pllc Family Medicine 9425 S Union Sq # 103, Sandy, UT 84070-3402 2010-11-29
1285993931 Ihc Health Services Inc Family Medicine 900 Round Valley Dr, Ste 200, Salt Lake City, UT 84060-7532 2012-05-15
1326220559 Kirk Grant Watkins Family Medicine 251 Hilton Dr, #107, St George, UT 84770-2320 2007-11-29

Competitor

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City LOGAN
Zip Code 84341

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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