JOHN WALLACE (NPI# 1265891295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265891295 |
| Entity Type | Individual |
| Full Name | JOHN WALLACE |
| Credential | CRNA |
| Practice Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Mailing Address |
6733 Thomas Blvd Pittsburgh PA 15208-2352 |
| Practice Telephone | 6512414000 |
| Mailing Telephone | 9702165385 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | CRNA 01415 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 W Maple St, Farmington, NM 874015630 | 5056092000 |
| 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 |
| 1225292634 | John Wallace | Anesthesiology | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297-0423 | 2008-07-15 |
| 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 |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930456 | Jorge Antonio Ferreiro | Pathology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2005-08-24 |
| 1487278214 | Rachel Rubatt | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-06-08 |
| 1831712439 | Anna Dittmann | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-19 |
| 1710508270 | Lisa Anne Paradiso | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-06 |
| 1467073718 | Michelle Schierts | Speech-Language Pathologist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-28 |
| 1629607254 | Salvum Anesthesia | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-06 |
| 1316575137 | Michelle Bencriscutto-synstelien | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-28 |
| 1235765611 | Lexi Mae Ternes | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-18 |
| 1154954717 | Jenna Marie Benzinger Tabet | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-21 |
| 1932732252 | Brian Charles Nye | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1952946501 | Wyn Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 | 2019-11-07 |
| 1215410311 | Hali Jean Haukos | Nurse Anesthetist, Certified Registered | 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 | 2018-09-13 |
| 1629466248 | Leslie Mcguire | Nurse Anesthetist, Certified Registered | 115 Delos St W, Saint Paul, MN 55107-2117 | 2015-01-05 |
| 1124379128 | Shannon Welsh Schuweiler | Nurse Anesthetist, Certified Registered | 333 Smith Avenue North, Saint Paul, MN 55102-2344 | 2012-10-01 |
| 1154405314 | Lori Harris Ward | Nurse Anesthetist, Certified Registered | 797 Linwood Ave, Saint Paul, MN 55105-3323 | 2006-10-24 |
| 1578651741 | Timothy James Campbell | Nurse Anesthetist, Certified Registered | 7988 W County Road 350 N, Saint Paul, IN 47272-9783 | 2006-10-11 |
| 1790747566 | Joseph F Mikolic | Nurse Anesthetist, Certified Registered | 75 Mackubin St, Saint Paul, MN 55102-2021 | 2006-04-05 |
| 1366402117 | Barbara Ann Young | Nurse Anesthetist, Certified Registered | 408 Warwick St, Saint Paul, MN 55105-2547 | 2006-03-24 |
| 1417926130 | Shawn Thomas Gaughan | Nurse Anesthetist, Certified Registered | 1544 Sheldon St, Saint Paul, MN 55108-2331 | 2006-03-15 |
| 1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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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.