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).
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 |
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 |
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 |
Street Address |
3420 S MERCY RD STE 200 |
City | GILBERT |
State | AZ |
Zip Code | 85297-0423 |
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 |
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 Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
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. |
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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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.