Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831622828 Individual Practitioner Female Practitioner

Dr. Shari Wallace , MD

Pediatrics • Middletown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Shari Wallace, MD is a registered healthcare professional specializing in Pediatrics in Middletown, NY. Practice services are available at 14 GROVE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Grove St

Middletown, NY 109404806

Telephone 8455638000
Associated Practice Facility / Clinic
🏢 Cornerstone Family Healthcare Facility NPI 1417571191

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Middletown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.4 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Middletown, NY (6127 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

CMS Verified: 2024-03-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License DE C1-0026596

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 310882

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Theodean Smith-Lawrence , FNP

Nurse Practitioner - Family

NPI 1003420472

Family Nurse Practitioner

Cheryll Harrison

Counselor - Addiction (Substance Use Disorder)

NPI 1003450974
Dr. Ryan Meshulam , MD

Psychiatry & Neurology - Psychiatry

NPI 1013200138

Doctor of Medicine (M.D.)

Candice Cestone , FNP-C

Nurse Practitioner - Family

NPI 1013784651

Family Nurse Practitioner (Certified)

NPI 1023038957

Doctor of Medicine (M.D.)

NPI 1033661400

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Pediatrics (License #C1-0026596 in DE)

📍
Updated Practice Location June 03, 2021

Registered at 14 GROVE ST, MIDDLETOWN, NY 109404806 (Tel: 8455638000)

📍
Updated Business Mailing Address June 03, 2021

Registered at 2570 ROUTE 9W STE 10, CORNWALL, NY 125181370 (Tel: 8452203100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Pediatrics (License #310882 in NY)

NPI Profile Active April 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2017

Registered at 1215 LEE ST, BOX 800501, CHARLOTTESVILLE, VA 229080816 (Tel: 4349245321)

📍
Updated Business Mailing Address April 06, 2017

Registered at 1215 LEE ST, BOX 800501, CHARLOTTESVILLE, VA 229080816 (Tel: 4349245321)

👤
Provider Name / Credentials Updated April 06, 2017

Recorded as SHARI WALLACE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 06, 2017

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: 1831622828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2017
Last Update: March 14, 2024
Sole Proprietor: No

Mailing Address

2570 Route 9w Ste 10

Cornwall, NY 125181370

Phone: 8452203100

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.