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Active NPI 1134191885 Individual Practitioner Male Practitioner

Roy Erickson Wallace , PA

Physician Assistant • Tamc, HI

Professional Overview & Biography Verified Profile Summary

Roy Wallace, PA is a registered healthcare professional specializing in Physician Assistant in Tamc, HI. Practice services are available at 1 JARRETT WHITE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Jarrett White Rd
Tamc, Personnel Division

Tamc, HI 968595001

Telephone 8084331790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tamc, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Tamc, HI (389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
John Davis Ii , LPN

Licensed Practical Nurse

NPI 1033100201

Licensed Practical Nurse

Ronald Chicoine , LCSW

Counselor - Mental Health

NPI 1053440487

Licensed Clinical Social Worker

Anna Stull , RN

Registered Nurse - Medical-Surgical

NPI 1063492627

Registered Nurse

Dr. Conrad Belnap , MD

Allergy & Immunology

NPI 1073503793

Doctor of Medicine (M.D.)

Dr. Kevin Boyle , MD

Obstetrics & Gynecology

NPI 1073504858

Doctor of Medicine (M.D.)

NPI 1083673461

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 JARRETT WHITE RD, TAMC, PERSONNEL DIVISION, TAMC, HI 968595001 (Tel: 8084331790)

📍
Updated Business Mailing Address July 08, 2007

Registered at 784 RINGOLD ST, APT 11, WAHIAWA, HI 967863857 (Tel: 8083517495)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROY WALLACE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134191885
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

784 Ringold St, Apt 11

Wahiawa, HI 967863857

Phone: 8083517495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.