Dr. Ryan Myles Wallace is a New Haven, Connecticut based neurologist with 10 years of experience in Neurology. He completed his graduation from University Of Washington School Of Medicine in 2014. He is also affiliated with hospitals like He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ryan Myles Wallace is 55490 in Connecticut. His current practice location is 55 Lock St, New Haven. Patients can reach him at 203-432-0290. Dr. Ryan Myles Wallace NPI number (Unique professional ID assigned by NPPES) is 1548695075. Dr. Ryan Myles Wallace specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Ryan Myles Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Ryan Myles Wallace
Specialization:
Neurology
Gender:
Male
Experience:
10+ years
Medical School Attended:
University Of Washington School Of Medicine
Graduation Year:
2014
Accepts Medicare Assignment:
Yes
Practice Address:
55 Lock St, New Haven, Connecticut, 06511
Phone:
203-432-0290
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2769703552
Enrollment ID:
I20200917000602
NPI Number:
1548695075
NPI Enumeration Date:
03 Sep, 2013
NPI Last Update On:
04 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ryan Myles Wallace are as mentioned below.
License Number
Specialization
State
Status
55490
Connecticut
Primary
55490
Neurology
Connecticut
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(020001)
Anchorage, AK
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ryan Myles Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Providence Health And Services Washington (1557408176)
129
Providence Health And Services Washington (2163335746)
27
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ryan Myles Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008056168
Medicaid
Connecticut
008076123
Medicaid
Connecticut
500000315
Medicaid
Connecticut
004082286
Medicaid
Connecticut
008022626
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Ryan Myles Wallace 1 Long Wharf Dr Ste 321, New Haven, Connecticut
Zip:
06511-5946
Phone Number:
203-781-4600
Fax Number:
203-781-4624
Patients can reach Dr. Ryan Myles Wallace at 55 Lock St, New Haven, Connecticut or can call to book an appointment on 203-432-0290.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.