TIMOTHY BRIAN WALLACE II (NPI# 1396987657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396987657 |
| Entity Type | Individual |
| Full Name | TIMOTHY BRIAN WALLACE II |
| Credential | M.D. |
| Practice Address |
550 Peachtree St Ne Atlanta GA 30308-2212 |
| Mailing Address |
443 E Lake Dr Decatur GA 30030-3531 |
| Practice Telephone | 4047783900 |
| Mailing Telephone | 9125075962 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | D75606 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063438307 | Timothy Mark Wallace | Chiropractor | 4357 Phelan Rd, Phelan, CA 92371-7675 | 2006-07-13 |
| 1437149739 | Timothy R Wallace | Psychologist | 125 Nashua Street, Spaulding Rehab Hospital, Boston, MA 02114-1198 | 2005-10-27 |
| 1619527611 | Timothy Wallace | Case Manager/Care Coordinator | 774 Internet Dr, Columbus, OH 43207-2589 | 2019-09-12 |
| 1003072414 | Timothy Thomas Wallace Jr. | Registered Nurse | 10000 Brecksville Rd, Brecksville, OH 44141-3204 | 2008-08-05 |
| 1275725384 | Timothy R Wallace | Family Medicine | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 2007-08-13 |
| 1033328703 | Timothy J Wallace | Radiology | 401 College St, Richmond, VA 23298-5017 | 2007-05-21 |
| 1720013121 | Timothy M Wallace | Pathology | 36500 Aurora Dr, Summit, WI 53066-4899 | 2006-07-12 |
| 1841215902 | Timothy Brian Wallace | Anesthesiology | 6605 Abercorn St, Suite 108, Savannah, GA 31405-5815 | 2006-07-12 |
| 1700850674 | Timothy Wallace | Physician Assistant | 450 Clarkson Ave, Box 56, Brooklyn, NY 11203-2056 | 2006-02-15 |
| Street Address |
550 PEACHTREE ST NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| 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 |
|---|---|---|---|---|
| 1457716516 | North Perimeter Anesthesia LLC | Anesthesiology | 1100 Johnson Ferry Rd Ste 200, Atlanta, GA 30342-2073 | 2015-12-16 |
| 1841664398 | Hilton Kupshik | Anesthesiology | 769 W Paces Ferry Rd Nw, West Paces Ferry Rd, Atlanta, GA 30327-2656 | 2015-11-20 |
| 1558733139 | Ehi Anesthesia Services, LLC. | Anesthesiology | 900 Circle 75 Pkwy Se Ste 900, Atlanta, GA 30339-3084 | 2015-10-22 |
| 1508232364 | Concepts Management, LLC | Anesthesiology | 5885 Glenridge Dr, Suite 200, Atlanta, GA 30328-5512 | 2015-08-17 |
| 1548640394 | Inspired Anesthesia Providers LLC | Anesthesiology | 1210 Regency Rd Nw, Atlanta, GA 30327-2722 | 2015-06-08 |
| 1023495736 | Rachel Schultz | Anesthesiology | 7385 Wildercliff Dr, Atlanta, GA 30328-1145 | 2015-05-01 |
| 1871903567 | Cory Kane Mansour | Anesthesiology | 1364 Clifton Rd Ne # T5l38, Atlanta, GA 30322 | 2014-05-02 |
| 1346669439 | Davin Singh | Anesthesiology | 49 Jesse Hill Jr Dr Se Ste 470a, Atlanta, GA 30303-3049 | 2014-04-16 |
| 1144655481 | Taj Eubanks Md LLC | Anesthesiology | 830 W Peachstree St, Atlanta, GA 30308-1056 | 2013-09-05 |
| 1487086138 | Continuum Care Group | Anesthesiology | 3574 Lenox Rd, 655, Atlanta, GA 30324 | 2013-08-05 |
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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.