Mark Allen Wallace, D.O.
Otolaryngology/Facial Plastic Surgery Physician · Rockport, ME
Mark Allen Wallace, D.O. is an otolaryngology/facial plastic surgery physician with a practice address in Rockport, Maine, and NPI 1952591828, issued on Jul 27, 2007. Check the license (Maine DO3910, as entered in NPPES) on the Maine Board of Licensure in Medicine; the Medicare figures below come from public CMS files.
- Name
- Mark Allen Wallace
- Credential
- D.O.
- Primary taxonomy
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- License numbers
- DO3910 ME
5101015234 MI
Self-reported in NPPES; status is on the state search - Practice location
- 15 Anchor Dr Ste 102, Rockport, ME 04856
- Phone
- (207) 301-3660
- Enumerated
- Jul 27, 2007
- Record last updated
- Jan 29, 2026
- Fax
- (207) 301-5160
- Medicare enrollment
- Enrolled (PECOS I20190814000245); accepts Medicare assignment
- Entity
- Type 1 · individual
2 nearest otolaryngology/facial plastic surgery physician records → All 3 in Maine → Look up another NPI →
Also registered at 15 Anchor Dr Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Angelica Mushenko, PAPhysician Assistant1689307985
- Emma Woolf, AUDAudiologist1679259915
Verify Mark Allen Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaine Board of Licensure in Medicine
Search for license DO3910Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Commonwealth Healthcare CorporationSaipan, MP
- MainehealthRockport, ME
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Otolaryngology/Facial Plastic Surgery Physician providers in Maine
There are 3 otolaryngology/facial plastic surgery physician records in Maine.
All 3 in Maine → Every provider in Rockport → Otolaryngology/Facial Plastic Surgery Physician nationwide →
The 2 otolaryngology/facial plastic surgery physician records with the nearest ZIP codes
- Christina Mimikos, D.O.Portland, ME 041031093944258
- Christopher Murry, D.OPortland, ME 041031174511158
Common questions
What is Mark Allen Wallace, D.O.'s NPI number?
Mark Allen Wallace, D.O.'s National Provider Identifier (NPI) is 1952591828, issued on Jul 27, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mark Allen Wallace, D.O. located?
The NPPES record lists a practice address at 15 Anchor Dr Ste 102, Rockport, ME, 04856. Phone: (207) 301-3660. Providers update this record themselves, so call before visiting.
How can I verify Mark Allen Wallace, D.O.'s license?
NPPES lists Maine license number DO3910, as entered by the provider. Search the Maine Board of Licensure in Medicine at https://www.maine.gov/md/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.