- Practice location
- 15 Anchor Dr Ste 102, Rockport, ME 04856-3847
- Phone
- 207-301-3660
- Fax
- 207-301-5160
- Last updated
- January 29, 2026
Mark Allen Wallace is an Otolaryngology, Otolaryngology/Facial Plastic Surgery based in Rockport, ME. Mark Allen Wallace practices in Rockport, ME and has the professional credentials of DO. The NPI Number for Mark Allen Wallace is 1952591828 and holds a License No. 5101015234 (MI). The current practice location address for Mark Allen Wallace is 15 Anchor Dr Ste 102, Rockport, ME 04856-3847 and can be reached out via phone at 207-301-3660 and via fax at 207-301-5160.
Provider Profile Details
- NPI Number
- 1952591828
- Provider Name
- Mark Allen Wallace
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Anchor Dr Ste 102, Rockport, ME 04856-3847
- Phone Number
- 207-301-3660
- Fax Number
- 207-301-5160
- Primary Taxonomy
- Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 27, 2007
- Last Update Date
- January 29, 2026
- Certification Date
- January 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Anchor Dr Ste 102
Rockport, ME 04856-3847 - City
- Rockport
- State
- Maine
- Zip
- 04856-3847
- Phone Number
- 207-301-3660
- Fax Number
- 207-301-5160
Provider Business Mailing Address Details
- Address
- 15 Anchor Dr Ste 102
Rockport, ME 04856-3847 - City
- Rockport
- State
- ME
- Zip
- 04856-3847
- Phone Number
- 207-301-3660
- Fax Number
- 207-301-5160
License Information
- License Number (1)
- 5101015234
- License State (1)
- MI
- Taxonomy (1)
- Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X
- License Number (2)
- DO3910
- License State (2)
- ME
- Taxonomy (2)
- Otolaryngology · 207Y00000X
- License Number (3)
- DO3910
- License State (3)
- ME
- Taxonomy (3)
- Otolaryngology, Otolaryngology/Facial Plastic Surgery · 207YX0905X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Otolaryngology, Otolaryngology/Facial Plastic Surgery providers near Rockport, ME
View all Otolaryngology, Otolaryngology/Facial Plastic Surgery providers in Rockport →- Christina CoffmanRegistered Nurse · NPI 1225938186
- Charity A Gamage, RNRegistered Nurse, Oncology · NPI 1093614414
- Angela Rothwell Counseling, LLCSocial Worker, Clinical · NPI 1144129834
- Shasta R Minery, LCSWSocial Worker, Clinical · NPI 1740001353
- Dr. Edward W Bahou, MDProvider · NPI 1942560941
- Mary Kathryn E Estes, CNMAdvanced Practice Midwife · NPI 1205748639
Frequently Asked Questions
What is the NPI number of Dr. Mark A Wallace, DO?
The NPI number of Dr. Mark A Wallace, DO is 1952591828. It was assigned on July 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark A Wallace, DO?
Dr. Mark A Wallace, DO is registered under the primary taxonomy Otolaryngology, Otolaryngology/Facial Plastic Surgery (code 207YX0905X), licensed in MI under license number 5101015234.
Where does Dr. Mark A Wallace, DO practice?
The practice location is 15 Anchor Dr Ste 102, Rockport, ME 04856-3847. The office can be reached at 207-301-3660 (phone) or 207-301-5160 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952591828 directly on the NPPES registry website.