NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. William Arthur Wallace Jr., M.D.

Plastic and Reconstructive Surgery Physician in Fleming Island, FL · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184842627

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. William Arthur Wallace Jr.
Credential M.D.
Sex Male
Practice address 1679 Eagle Harbor Pkwy, Suite C, Fleming Island, FL, 32003
Fax (904) 621-9272
Enumeration date Apr 22, 2007
Last updated in NPPES Nov 1, 2015

Taxonomy & licenses

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License ME107749 (FL) Primary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians · License 35.079632 (OH) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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 → Validate an NPI →

Frequently asked questions

Where does William Wallace practice?
The practice location on file with NPPES is in Fleming Island, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for William Wallace?
The National Provider Identifier (NPI) for William Wallace is 1184842627, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-01.