Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073780045 Individual Practitioner Female Practitioner

Tamara Jane Wallace , NP

Nurse Practitioner - Neonatal • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Tamara Wallace, NP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Columbus, OH. Practice services are available at 700 CHILDRENS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Childrens Dr

Columbus, OH 432052664

Telephone 6143618430
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 6.1 Yrs
Regional Practice Density
104 Specialists

Practicing in Columbus, OH (281 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: 2022-03-28
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License OH 01255

Definition to come...

Nurse Practitioner - Neonatal

NUCC Taxonomy Code: 363LN0000X

State License TN APN0000015454

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0201101 (OH)
Medicaid State Provider ID
129252 (AL)
Medicaid State Provider ID
003109104C (GA)
Commercial Insurance / Payer ID Well Care
606646
Commercial Insurance / Payer ID Tncare Blcare
4299578 (TN)
Commercial Insurance / Payer ID Amerigroup Ga
003109104C (GA)

Secondary Practice Locations

3535 Olentangy River Rd

Columbus, OH 432143908

Phone: 6145665000

7500 Hospital Dr

Dublin, OH 430168518

Phone: 6145448000

5100 W Broad St

Columbus, OH 432281607

Phone: 6145441000

111 S Grant Ave

Columbus, OH 432154701

Phone: 6145669000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Bela Gandhi , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003005778

Doctor of Medicine (M.D.)

NPI 1003106154

Doctor of Medicine (M.D.)

NPI 1003107244

Doctor of Medicine (M.D.)

Dr. Christopher Jones , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003234311

Doctor of Medicine (M.D.)

NPI 1003257247

Doctor of Pharmacy (Pharm.D.)

Dr. Claire Christian , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003279944

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Nurse Practitioner (License #APN0000015454 in TN)

NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2017

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6143618430)

📍
Updated Business Mailing Address January 04, 2017

Registered at 6283 ENCLAVE BLVD, WESTERVILLE, OH 430827576 (Tel: 6143618430)

👤
Provider Name / Credentials Updated January 04, 2017

Recorded as TAMARA WALLACE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Nurse Practitioner (License #01255 in OH)

🟢
Initial NPI Registration & Enumeration May 09, 2008

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: 1073780045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2008
Last Update: March 28, 2022
Sole Proprietor: No

Mailing Address

6283 Enclave Blvd

Westerville, OH 430827576

Phone: 6143618430

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.