Dr. Jacob Henry Wallace, MD
Dr. Jacob Henry Wallace, MD is an Obstetrics/Gynecology in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with Family Care Health Centers, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 5
- Licensed in
- MO
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Saint Louis, MONo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 4352 Manchester Ave, Saint Louis, MO 63110-2138 — (314) 531-5444
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 2025027770 (MO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1124604061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 22, 2021 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Family Care Health Centers — 52 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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