Brittney Wallace (NPI# 1053650911, PAC ID# 8022253814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053650911 |
| PAC ID by PECOS | 8022253814 |
| Professional Enrollment ID | I20141122000249 |
| Full Name | Brittney Wallace |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Address |
1001 Bellefontaine Ave Lima OH 45804-2800 |
| Phone Number | 4192283335 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1254232184 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360092 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Bellefontaine Ave, Lima, OH 45804-2800 | 4192283335 | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| 500 London Ave, Marysville, OH 43040-5512 | 7404208451 | RURAL ANESTHESIA MANAGEMENT, LLC |
| Organization Legal Name | LIMA MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Charles Niese | Nurse Practitioner | Lima Memorial Professional Corporation | 322 E Main St, Russells Point, OH 43348-9601 |
| Trisha M Kleman | Nurse Practitioner | Lima Memorial Professional Corporation | 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 |
| Alicia Thornton | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Marilyn E Roberts | Nurse Practitioner | Lima Memorial Professional Corporation | 525 N Eastown Rd, Suite A, Lima, OH 45807-2268 |
| Shannon R Wesley | Colorectal Surgery (proctology) | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Monica W Loke | Neurosurgery | Lima Memorial Professional Corporation | 1005 Bellefontaine Ave, Suite 350, Lima, OH 45804-2885 |
| Jennifer Maag | Family Medicine | Lima Memorial Professional Corporation | 102 Putnam Pkwy, Ottawa, OH 45875-8657 |
| Susan M Kaufman | Family Medicine | Lima Memorial Professional Corporation | 1211 E Columbus St, Kenton, OH 43326-1760 |
| Sarat B Kuchipudi | Pulmonary Disease | Lima Memorial Professional Corporation | 528 W Market St, Suite 200a, Lima, OH 45801-4762 |
| Marjorie A Demund | Obstetrics/gynecology | Lima Memorial Professional Corporation | 1220 E Elm St, Suite 101, Lima, OH 45804-2803 |
| Street Address |
1001 BELLEFONTAINE AVE |
| City | LIMA |
| State | OH |
| Zip | 45804-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Thornton | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Natalie B Coon | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Jeremy J Heffner | General Surgery | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Salim W Hanna | Family Medicine | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Jaber Alanzi | Urology | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Emily K Schnipke | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Pratap Balusu | Internal Medicine | Midwest Hospitalist Physicians LLP | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Kristy L Birkemeier | Physician Assistant | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| John Stewart Haid | Anesthesiology | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Timothy S Friesner | Certified Registered Nurse Anesthetist (crna) | Lima Memorial Professional Corporation | 1001 Bellefontaine Ave, Lima, OH 45804-2800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Praveena Prasai-sharma | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Erin Np Miller | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Robert A Crook | Clinical Social Worker | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Lori Acerro | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kelly Jean Kunkler | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Steven Mates | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kimberly Butler | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Shannon R Wesley | Colorectal Surgery (proctology) | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Noorul H Khan | General Surgery | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Susan Morris | Family Medicine | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Find all physicians in zip 45804 | |||
| City | LIMA |
| Zip Code | 45804 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LIMA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Brittney Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.