HAILEY D WALLACE (NPI# 1104305432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104305432 |
| Entity Type | Individual |
| Full Name | HAILEY D WALLACE |
| Other Name | HAILEY D JONES |
| Credential | CRNA |
| Practice Address |
930 Bethel Rd Columbus OH 43214-1906 |
| Mailing Address |
750 Cross Pointe Rd Ste C Gahanna OH 43230-6692 |
| Practice Telephone | 6144510500 |
| Mailing Telephone | 6147611255 |
| Mailing Fax Number | 6145520168 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA.019718 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
930 BETHEL RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063514107 | Ohio Surgery Center LLC | Clinic/Center | 930 Bethel Rd, Columbus, OH 43214-1906 | 2006-09-01 |
| 1770771883 | Patricia S Hile | Nurse Anesthetist, Certified Registered | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-10-15 |
| 1306031711 | Melanie Kim Ward George | Anesthesiology | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-09-09 |
| 1457471229 | Jo M Stern | Nurse Anesthetist, Certified Registered | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-03-29 |
| 1972622348 | Ralph Farina | Anesthesiology | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-03-28 |
| 1215055157 | Patricia Jane Davidson | Anesthesiology | 930 Bethel Rd, Ohio Surgery Center, Columbus, OH 43215 | 2007-03-27 |
| 1144348871 | Premier Anesthesiologists,inc | Clinic/Center | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-03-27 |
| 1689713836 | Andreas Schuster | Anesthesiology | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-02-05 |
| 1649319906 | Maureen Elizabeth Stubbs | Anesthesiology | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-02-05 |
| 1629114053 | Joan Susan Bohon | Registered Nurse | 930 Bethel Rd, Columbus, OH 43214-1906 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| 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 |
|---|---|---|---|---|
| 1780067975 | David Kohn | Nurse Anesthetist, Certified Registered | 388 S Chesterfield Rd, Columbus, OH 43209-1916 | 2015-07-07 |
| 1912319369 | Nexxgen Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 North Ave, Columbus, GA 31904-8843 | 2014-05-20 |
| 1427370345 | Lara Noel Wilson | Nurse Anesthetist, Certified Registered | 68 West Dominion Boulevard, Columbus, OH 43214 | 2010-02-19 |
| 1447440052 | Rebecca J. Petzinger | Nurse Anesthetist, Certified Registered | 410 W. Tenth Avenue, N416 Doan Hall, Columbus, OH 43210 | 2007-07-30 |
| 1891911541 | Barbara Alice Hill-burke | Nurse Anesthetist, Certified Registered | 7615 Collegiate Ct, Columbus, OH 43235-1465 | 2007-04-18 |
| 1710068358 | Sarah Koehler | Nurse Anesthetist, Certified Registered | 294 Savelle Cir, Columbus, MS 39705-3228 | 2006-10-18 |
| 1346353513 | Blaine Michael West | Nurse Anesthetist, Certified Registered | 4600 38th Street, Columbus Community Hospital, Columbus, NE 68601 | 2006-08-15 |
| 1326071234 | Susan E Lampert | Nurse Anesthetist, Certified Registered | American Kidney Stone Management, 797 Thomas Lane, Columbus, OH 43214 | 2006-07-07 |
| 1598703951 | Midwest Physician Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 5151 Reed Road, Suite 225-c, Columbus, OH 43220-2595 | 2006-06-04 |
| 1871547539 | Lisa D Freeman | Nurse Anesthetist, Certified Registered | 3772 43rd Ave Ste B, Columbus, NE 68601-1681 | 2006-05-19 |
| Find all providers in COLUMBUS | ||||
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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.