MR. WALLACE BARRETT JR. (NPI# 1104216944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104216944 |
| Entity Type | Individual |
| Full Name | MR. WALLACE BARRETT JR. |
| Credential | CRNA |
| Practice Address |
1215 Franciscan Dr Litchfield IL 62056-1778 |
| Mailing Address |
Po Box 10484 Birmingham AL 35202-0484 |
| Practice Telephone | 2173248389 |
| Mailing Telephone | 8003395844 |
| Mailing Fax Number | 8667595426 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 041.406110 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1215 FRANCISCAN DR |
| City | LITCHFIELD |
| State | IL |
| Zip Code | 62056-1778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326057076 | St. Francis Hospital Sisters of The Third Order of St. Francis | General Acute Care Hospital | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2006-08-05 |
| 1518474048 | Ihc-litchfield Emergency Physicians LLC | Emergency Medicine | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2018-01-05 |
| 1790173912 | Jennifer Lynn Becker | Dietitian, Registered | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2014-12-23 |
| 1518381342 | Infinity-meds LLP | Emergency Medicine | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2014-02-14 |
| 1952664310 | Cynthia A Reents | Physical Therapist | 1215 Franciscan Dr, Street Line 2, Litchfield, IL 62056-1778 | 2012-06-20 |
| 1174713440 | St Francis Hospital Sisters of The Third Order of St Francis | Medicare Defined Swing Bed Unit | 1215 Franciscan Dr, Box 1215, Litchfield, IL 62056-1778 | 2007-08-01 |
| 1235230210 | John P. Jurkanin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2006-09-25 |
| 1992806970 | Steven R. Wright | Nurse Anesthetist, Certified Registered | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1841846888 | Madalyn Leann Rogers | Speech-Language Pathologist | 601 W South St., Litchfield, IL 62056 | 2019-08-15 |
| 1164780185 | Jimmy Dapog | Physical Therapist | 628 Illinois St, Litchfield, IL 62056 | 2012-04-27 |
| 1114139037 | Dental Professionals of Illinois, P.C. | Dentist | 620 West Union, Litchfield, IL 62056 | 2007-05-04 |
| 1558583096 | Affordable Dentistry Today, PC | Dentist | 515 North Monroe, Litchfield, IL 62056 | 2007-05-03 |
| 1104915867 | City of Litchfield | Ambulance | 201 East Edwards, Litchfield Ave Ambulance Service, Litchfield, IL 62056 | 2006-10-12 |
| 1033213020 | Litchfield Oncology Institute Ltd | Radiology | 1201 East Union Avenue, Litchfield, IL 62056 | 2006-09-11 |
| 1891751400 | Andrew Kamp | Physical Therapist | 1510 Old Route 66 North, Litchfield, IL 62056 | 2006-04-22 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1841388840 | Muhammad Ansari | Radiology | 1201 E Union Ave, Litchfield, IL 62056 | 2006-10-11 |
| Find all providers in zip 62056 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689770745 | Mary Jospehine Bernheim | Nurse Anesthetist, Certified Registered | 12 Norfolk Rd, Litchfield, CT 06759-2537 | 2006-09-16 |
| 1922567668 | Tera L Bredeson | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2019-03-12 |
| 1083151351 | County of Meeker | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2017-01-25 |
| 1477844439 | Thad Peter Larson | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2011-04-26 |
| 1720226442 | Patti S Durbin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Anesthesia Dept, Litchfield, IL 62056 | 2009-02-03 |
| 1336361922 | Amsol Anesthetists of Litchfield Il | Nurse Anesthetist, Certified Registered | 1215 Franciscan Drive, Litchfield, IL 62056-1778 | 2007-05-03 |
| 1235230210 | John P. Jurkanin | Nurse Anesthetist, Certified Registered | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2006-09-25 |
| 1992806970 | Steven R. Wright | Nurse Anesthetist, Certified Registered | 1215 Franciscan Dr, Litchfield, IL 62056-1778 | 2006-09-25 |
| 1255438552 | County of Meeker | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2006-09-20 |
| 1063518934 | Charles Fuller | Nurse Anesthetist, Certified Registered | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2006-09-16 |
| Find all providers in LITCHFIELD | ||||
| City | LITCHFIELD |
| Zip Code | 62056 |
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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.