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NPI · 1679550875 · NPPES-sourced

Weldon Wallace MD

ActiveFamily Medicine
NPI Number
1679550875
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(616) 356-5202
License MI · 4301085136
Last Updated
About 18 years ago (Jul 2007)
Enumerated 2005-12-28
Primary practice addressMI · 49503-1372
1260 Ekhart St NeGrand Rapids, MI 49503-1372
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About this NPIWhat this record shows.

NPI 1679550875 is registered to Weldon Wallace MD, a Family Medicine practising at 1260 Ekhart St Ne in Grand Rapids, Michigan. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Weldon Wallace MD has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-12-28
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Weldon Wallace MD accepts. To confirm in-network status with your specific health plan, contact Weldon Wallace MD directly at (616) 356-5202.

Frequently asked

Yes. NPI 1679550875 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (616) 356-5202.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Weldon Wallace MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated2007-07
Enumerated2005-12-28
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Michigan.

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