Dr. Shain S Wallis, DO
Dr. Shain S Wallis, DO is a Diagnostic Radiology in Liverpool, New York. Qualified in 2005, 21 years ago. Practices with Prospect Hill Radiology Group P C, a 15-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 21
- Licensed in
- NY
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
Liverpool, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 264957 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1356653729 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 13, 2010 |
| Last updated in NPPES | January 29, 2024 |
| Certification date | January 29, 2024 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Prospect Hill Radiology Group P C — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Liverpool
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Marilynn Sergott, FNP-C
Student / training record Liverpool, NY
-
Israt Tanny
Student / training record Liverpool, NY
-
Kennedy Hope Mastroleo Thompson
Student / training record Liverpool, NY
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Diane Beth Tschudi, PA
Student / training record Liverpool, NY
-
Travis Paul Webb
Student / training record Liverpool, NY