Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles W Wallace, MD

Family Medicine Physician in Canton, OH · enumerated 2006.

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

National Provider Identifier

1780652792

Verified

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Registry record

Entity type Individual (Type 1)

Name Charles W Wallace

Credential MD

Sex Male

Practice address 4455 Dressler Rd Nw, Canton, OH, 44718

Phone (330) 497-6555

Fax (330) 497-3281

Enumeration date Mar 8, 2006

Last updated in NPPES Jan 14, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 35080468W (OH) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 70831 (MN) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 330155 (LA) Secondary

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
000000490965	Other	-	ANTHEM BCBS
Q016786D	Other	-	HOMETOWN
2374014	Medicaid	OH	-
733074	Other	-	BUCKEYE COMMUNITY HEALTH
1074	Other	-	SUMMACARE HEALTH PLAN
000000189519	Other	-	THREE RIVERS HEALTH PLANS

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

What is the NPI number for Charles Wallace?

The National Provider Identifier (NPI) for Charles Wallace is 1780652792, a Type 1 (individual) record in the CMS NPPES registry.

Where does Charles Wallace practice?

The practice location on file with NPPES is in Canton, OH. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Ohio Heart Care, Inc. Medical Specialty Clinic/Center · Canton, OH NPI 1881882702 The Heart Attack and Stroke Prevention Institute, LLC Public Health & General Preventive Medicine Physician · Canton, OH NPI 1891936191

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-14.