Doctor profile · Federal record

Dr. Mariah Wallace, PA-C

Medical Physician Assistant · Frederick, MD

  • NPI 1124806682
  • 3 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
87 Thomas Johnson Dr Ste 101
Frederick, MD 217024427
(301) 694-0606

Credentials & registration

NPPES · NUCC
NPI registered
September 2023 — 3 yrs on file
Profile last updated
June 23, 2025
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Maryland #C0009066

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124806682. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$259
Transactions
13
Manufacturers
10
Payer (manufacturer) Industry Txns Amount
SANOFI-AVENTIS U.S. LLC 2 $49.18
Merck Sharp & Dohme LLC 2 $45.58
SANOFI PASTEUR INC. 2 $37.95
Cumberland Pharmaceuticals, Inc. 1 $22.59
AstraZeneca Pharmaceuticals LP 1 $22.27
IRONSHORE PHARMACEUTICALS INC. 1 $18.44
Supernus Pharmaceuticals, Inc. 1 $17.22
GlaxoSmithKline, LLC. 1 $16.32
Seqirus USA Inc 1 $15.82
Kowa Pharmaceuticals America, Inc. 1 $13.16

By nature of payment

Food and Beverage
$259

Frequently asked questions

Auto-generated from federal data
What is Dr. Mariah Wallace's medical specialty?
Dr. Mariah Wallace practices Medical Physician Assistant in Frederick, MD.
Where does Dr. Mariah Wallace practice?
Dr. Mariah Wallace practices at 87 Thomas Johnson Dr Ste 101, Frederick, MD 217024427. Office phone: 3016940606.
What is Dr. Mariah Wallace's NPI?
Dr. Mariah Wallace's National Provider Identifier (NPI) is 1124806682, issued by NPPES.