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Dr. Douglas Charles Wallace, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lafayette, IN · enumerated 2006.

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

National Provider Identifier

1851470033

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Registry record

Entity type Individual (Type 1)
Name Dr. Douglas Charles Wallace
Credential M.D.
Sex Male
Practice address 3900 St Francis Way, Ste 201, Lafayette, IN, 47905
Phone (765) 446-7981
Fax (765) 446-7982
Enumeration date Nov 6, 2006
Last updated in NPPES Dec 19, 2012

Taxonomy & licenses

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License G66727 (CA) Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License 036-101410 (IL) Secondary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians · License 01071946A (IN) Primary
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
036112410 Medicaid IL -

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.

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Frequently asked questions

Where does Douglas Wallace practice?
The practice location on file with NPPES is in Lafayette, IN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Douglas Wallace?
The National Provider Identifier (NPI) for Douglas Wallace is 1851470033, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-19.