Doctor profile · Federal record
Dr. Tracy Wallace, MD
Pediatrics Physician · Gonzales, LA
- NPI 1720306558
- 16 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1937 S Burnside Ave
Gonzales, LA 707374632
(225) 765-5500
fax (225) 644-9286 - Mailing address
-
5959 S Sherwood Forest Blvd
Baton Rouge, LA 708166038
Credentials & registration
- NPI registered
- May 2010 — 16 yrs on file
- Profile last updated
- May 19, 2021
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Louisiana #204717
- Medicaid
- LA #2103831
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720306558. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$486
Transactions
27
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 5 | $84.02 | |
| Supernus Pharmaceuticals, INC. | 4 | $83.70 | |
| Ironshore Pharmaceuticals INC. | 4 | $63.87 | |
| Pfizer INC. | 3 | $63.49 | |
| Merck Sharp & Dohme LLC | 3 | $50.13 | |
| Sanofi-Aventis U.S. LLC | 2 | $32.79 | |
| Ultragenyx Pharmaceutical INC. | 1 | $18.91 | |
| AstraZeneca Pharmaceuticals Lp | 1 | $18.59 | |
| Tris Pharma INC | 1 | $18.49 | |
| Cranial Technologies, INC | 1 | $18.04 | |
| Vertical Pharmaceuticals, LLC | 1 | $17.03 | |
| Aytu BioPharma, INC. | 1 | $16.91 |
By nature of payment
Frequently asked questions
What is Dr. Tracy Wallace's medical specialty?
Dr. Tracy Wallace practices Pediatrics Physician in Gonzales, LA.
Where does Dr. Tracy Wallace practice?
Dr. Tracy Wallace practices at 1937 S Burnside Ave, Gonzales, LA 707374632. Office phone: 2257655500.
What is Dr. Tracy Wallace's NPI?
Dr. Tracy Wallace's National Provider Identifier (NPI) is 1720306558, issued by NPPES.