Dr. Robert D Wallace, MD
Dr. Robert D Wallace is a Plastic and Reconstructive Surgery Physician provider (Surgery) practicing in Memphis, TN, registered in the NPPES registry with NPI 1023075637 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023075637 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Robert D Wallace |
| Credential | MD |
| Sex | Male |
| Practice address | 1068 CRESTHAVEN RD STE 500, Memphis, TN, 38119 |
| Phone | 9018668525 |
| Enumeration date | 2006-04-27 |
| Last updated in NPPES | 2019-02-01 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0122X | Plastic and Reconstructive Surgery Physician | Primary | 27658 | TN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130322001 | Medicaid | AR | — |
| 00118676 | Medicaid | MS | — |
| 3804973 | Medicaid | TN | — |
Copy-ready billing details
Provider: Robert Wallace, MD NPI: 1023075637 Taxonomy: 2086S0122X (Plastic and Reconstructive Surgery Physician) Address: 1068 CRESTHAVEN RD STE 500, Memphis, TN, 38119
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467417246 | Helmut Steinberg | Individual | Endocrinology, Diabetes & Metabolism Physician | Memphis, TN |
| 1487611000 | Edward Luce | Individual | Plastic and Reconstructive Surgery Physician | Memphis, TN |
| 1902905722 | William Cushman | Individual | Internal Medicine Physician | Memphis, TN |
| 1831254127 | Devra Becker | Individual | Plastic Surgery Physician | Memphis, TN |
| 1952543084 | Sonia Alvarez | Individual | Plastic Surgery Physician | Memphis, TN |
| 1801102330 | Khyati Kothari | Individual | Psychiatry Physician | Memphis, TN |
| 1225418668 | Olivia Delozier | Individual | Surgery Physician | Memphis, TN |
| 1437534682 | Mahmoud Hassouba | Individual | Plastic and Reconstructive Surgery Physician | Memphis, TN |
Verify this record
Cross-check NPI 1023075637 against the authoritative CMS record: view Dr. Robert D Wallace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-02-01.