DR. JOHN WALLACE


Address: 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423
Phone: 8669742673

DR. JOHN WALLACE (NPI# 1225292634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225292634
Entity Type Individual
Full Name DR. JOHN WALLACE
Credential M.D.
Practice Address 3420 S Mercy Rd Ste 200
Gilbert
AZ 85297-0423
Mailing Address 1850 N Central Ave
Suite 1600
Phoenix
AZ 85004-4527
Practice Telephone 8669742673
Practice Fax Number 8669392673
Mailing Telephone 6022628900
Enumeration Date 2008-07-15
Last Update Date 2019-06-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 52631 AZ Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology 4301093046 MI Allopathic & Osteopathic Physicians
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
52631 AZ Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JOHN WALLACE

NPI Name Taxonomy Address Enumeration
1023508868 John E Wallace Physical Therapist 1060 Nimitzview Dr Ste 205, Cincinnati, OH 45230-4351 2018-05-17
1679900161 John D Wallace Counselor 1455 Nw 53rd St Apt 222, Miami, FL 33142 2013-09-30
1437590973 John Burton Wallace V Social Worker 141 S 5th St Ofc East, Brooklyn, NY 11211 2013-07-12
1346517307 John Widtsoe Wallace Specialist 1091 Southport Dr, Medina, OH 44256-3019 2011-11-18
1629241070 John Dean Wallace Jr. Dentist 9913 Mission Gorge Rd Unit 1, Santee, CA 92071-3843 2008-04-08
1275663916 John Robert Wallace Physical Therapist 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 2007-03-06
1346379161 John G Wallace Psychiatry & Neurology 17515 N Park Pl N, Shoreline, WA 98133-4803 2007-03-05
1841359775 John Thomas Wallace Chiropractor 3314 Us Highway 431, Albertville, AL 35950 2006-12-06
1316038839 John Kline Wallace Dentist 2501 Princess Anne St, Fredericksburg, VA 22401-3333 2006-09-28
1144333261 John Henry Wallace Dentist 583 Moull St, Newark, OH 43055-2909 2006-08-15

Office Location

Street Address 3420 S MERCY RD STE 200
City GILBERT
State AZ
Zip Code 85297-0423

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942840335 Tanner Olsen Physician Assistant 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2020-01-13
1902389273 Tyler Knudsen Physician Assistant 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2018-09-12
1235639428 Alexis Anne Brouse Physician Assistant 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2018-02-14
1619407616 Kristin Mihalcin Physician Assistant 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2017-06-13
1578981601 Kirsten Sumner Orthopaedic Surgery 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2014-04-05
1700148731 Nicholas Kurt Wischmeier Orthopaedic Surgery 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 2012-06-14
1447559216 Brandon Paul Hirsch Orthopaedic Surgery 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 2011-03-19
1043452196 Anuj Prakash Daftari Physical Medicine & Rehabilitation 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 2009-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710592357 Center for Orthopedic Research and Education LLC Durable Medical Equipment & Medical Supplies 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 2020-09-10
1508483827 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 2020-07-02
1225653074 Sigma Health and Wellness LLC Nurse Practitioner 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 2020-06-08
1750928727 Emily Paige Stott Specialist/Technologist 4141 E Sidewinder Ct, Gilbert, AZ 85297 2019-12-09
1386280436 Ocotillo Surgery Center LLC Clinic/Center 3920 S Rome Street, Gilbert, AZ 85297 2019-11-25
1366094930 Psa Behavioral Health Agency Community/Behavioral Health 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 2019-07-12
1508337213 Orthopedic Specialists of North America Pllc Physical Therapist 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 2018-12-07
1346766698 Charles Stanley Bailey Optometrist 3098 E. Waterman Way, Gilbert, AZ 85297 2017-08-18
1982155503 Sheli K Jensen Marriage & Family Therapist 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 2016-10-19
1407302763 Kelly Jo Plencner-vega Advanced Practice Midwife 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 2016-08-28
Find all providers in zip 85297

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255988309 Szieszta Inc Anesthesiology 1834 E Willow Tree Ct, Gilbert, AZ 85234-4934 2019-08-23
1306302724 Genuine Anesthesia Services Pllc Anesthesiology 2192 E Claxton St, Gilbert, AZ 85297-1128 2019-02-11
1982994745 Ahdev Kuppusamy Anesthesiology 3370 S Mercy Rd Ste 321, Gilbert, AZ 85297-0414 2011-04-13
1043491988 David Kee Tom Anesthesiology 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 2007-11-20
1790990752 Brian J Elliott Anesthesiology 3920 S Rome St, Gilbert, AZ 85297-7366 2007-05-13
1750439824 Ajay Mohan Narwani Anesthesiology 1466 W Elliot Rd, Gilbert, AZ 85233 2007-01-08
1851337240 Jon Nottingham Anesthesiology 4331 E Baseline Rd, Ste B106-625, Gilbert, AZ 85234-2961 2006-06-22
1871553529 Ajay Neilchand Yeddu I Anesthesiology 1410 W Guadalupe Rd, Building 4 Suite 125, Gilbert, AZ 85233-3003 2006-03-26
1760463442 David J Strock Anesthesiology 428 S Gilbert Rd Ste 115, Gilbert, AZ 85296-2262 2005-11-09
1992329551 Sw Anesthesia, P.C. Anesthesiology 3920 S Rome St, Gilbert, AZ 85297-7366 2020-05-29
Find all providers in GILBERT

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City GILBERT
Zip Code 85297

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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