{"npi":"1902908718","type":"NPI-1","status":"active","name":{"display":"James Wallace M.D.","other":[],"first":"JAMES","last":"WALLACE","middle":"M","credential":"M.D."},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"WI","license":"37316"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"WI","license":"37316"}]},"addresses":[{"purpose":"LOCATION","street_1":"235 E STATE ST","city":"SAINT CROIX FALLS","state":"WI","postal_code":"540244117","country_code":"US","phone":"7154833221","fax":"7154830507"},{"purpose":"MAILING","street_1":"235 E STATE ST","city":"SAINT CROIX FALLS","state":"WI","postal_code":"540244117","country_code":"US","phone":"7154833221","fax":"7154830507"}],"license":{"state":"WI","number":"37316"},"identifiers":[{"type_code":"01","label":"Other","value":"HP27845","state":null,"issuer":"HEALTHPARTNERS"},{"type_code":"01","label":"Other","value":"64Q42WA","state":"MN","issuer":"BLUE CROSS MN  PRO FEE"},{"type_code":"05","label":"Medicaid","value":"948017000","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"110168453","state":null,"issuer":"RAILROAD"},{"type_code":"01","label":"Other","value":"NA9031017009","state":null,"issuer":"PREFERREDONE"},{"type_code":"05","label":"Medicaid","value":"32379700","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"0413704","state":null,"issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"27G52WA","state":"MN","issuer":"BLUE CROSS MN  FACILITY"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100609000739","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"WI","pac_id":"0547153322"},{"enrlmt_id":"I20131212000020","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"MN","pac_id":"0547153322"}]},"enumeration_date":"2006-09-02","last_updated":"2021-02-02","_meta":{"source":"NPPES","snapshot_date":"2021-02-02","doc_url":"https://findmynpi.com/api"}}