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Deactivated NPI 1356481113 Deactivated / Inactive NPI Female Practitioner

Martha C. Wallace , BA, MA, CCC-A

Audiologist • Midland, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Martha Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2007
NPI Deactivation Date September 08, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Martha Wallace, BA, MA, CCC-A was a registered Audiologist practicing in Midland, TX. Throughout an active medical career spanning 14 years, Martha Wallace provided care at the practice location at 2101 N MIDLAND DR until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

2101 N Midland Dr
Suite 4

Midland, TX 797075507

Telephone 4326894327
Fax 4326894329
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Midland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Midland, TX (1511 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

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License TX 51438

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1134269780

Doctor of Audiology

Dr. Ginger Peugh , AuD

Audiologist-Hearing Aid Fitter

NPI 1164686168

Doctor of Audiology

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2101 N MIDLAND DR, SUITE 4, MIDLAND, TX 797075507 (Tel: 4326894327)

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Updated Business Mailing Address July 08, 2007

Registered at 7800 S COUNTY ROAD 1265, MIDLAND, TX 797066025 (Tel: 4325618364)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARTHA WALLACE, B.A., M.A., CCC-A

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

Audiologist (License #51438 in TX)

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Initial NPI Registration & Enumeration February 08, 2007

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: 1356481113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Deactivation Date: September 08, 2021

Mailing Address

7800 S County Road 1265

Midland, TX 797066025

Phone: 4325618364

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

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