STEPHANIE LOUISE WALLACE (NPI# 1518299197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518299197 |
| Entity Type | Individual |
| Full Name | STEPHANIE LOUISE WALLACE |
| Practice Address |
6701 N Charles St Ste 4226 Towson MD 21204-6808 |
| Mailing Address |
1122 Kenilworth Dr Ste 317 Baltimore MD 21204-2146 |
| Practice Telephone | 4102964616 |
| Practice Fax Number | 4103375068 |
| Mailing Telephone | (410) 296-4616 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R160036 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 570079500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 341 N. Calvert Street, Department of Anesthesiology, Baltimore, MD 212022102 | 4103329375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509524 | Stephanie Wallace | Speech-Language Pathologist | 1014 Glen Crossing Rd, Glen Carbon, IL 62034-8517 | 2018-12-11 |
| 1679755003 | Stephanie R Wallace | Occupational Therapy Assistant | 5626 Lasater Dr Nw Apt 5, Canton, OH 44718-1923 | 2007-11-27 |
| 1841289022 | Stephanie R Wallace | Pediatrics | 2405 Research Parkway, Colorado Springs, CO 80918 | 2005-10-19 |
| 1023619061 | Stephanie Lynn Wallace | Pharmacist | 254 Cassidy Blvd, Pikeville, KY 41501-1426 | 2020-11-05 |
| 1750988127 | Stephanie Wallace | Marriage & Family Therapist | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2020-10-07 |
| 1407483878 | Stephanie L Wallace | Marriage & Family Therapist | 1212 Hancock St Ste 205, Quincy, MA 02169-4371 | 2020-03-25 |
| 1427534718 | Stephanie E Wallace | Nurse Anesthetist, Certified Registered | 200 Mercy Circle, Camp Pendleton, CA 92055 | 2018-07-19 |
| 1740791714 | Stephanie Wallace | Genetic Counselor, MS | 6431 Fannin Street, Msb 6.100, Houston, TX 77030 | 2017-10-18 |
| 1477924082 | Stephanie Wallace | Physician Assistant | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2015-10-08 |
| 1477943223 | Stephanie Wallace | Pharmacist | 815 Cheyenne Meadows Rd, Colorado Springs, CO 80906-4929 | 2015-02-02 |
| Street Address |
6701 N CHARLES ST STE 4226 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373173 | Kwan Lan Lee | Nurse Anesthetist, Certified Registered | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2005-08-15 |
| 1043553043 | Meneshensh Maazu Tadese | Anesthesiology | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2013-03-28 |
| 1376819201 | Mu Yang | Anesthesiology | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2012-03-26 |
| 1093943813 | Heather Adina Suss | Anesthesiology | 6701 N Charles St Ste 4226, Towson, MD 21204 | 2009-06-30 |
| 1932382454 | Gregory R Detore | Anesthesiology | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2007-12-06 |
| 1548302227 | Amy Lynn Marks | Anesthesiology | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2007-02-12 |
| 1083769152 | Tim Ngoc Dinh | Nurse Anesthetist, Certified Registered | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| 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 |
|---|---|---|---|---|
| 1215328521 | Thea Koltz | Nurse Anesthetist, Certified Registered | 202 Meridian Ln, Towson, MD 21286-5205 | 2015-02-09 |
| 1588054266 | Candice Elizabeth Swerdlow | Nurse Anesthetist, Certified Registered | 905 Stone Barn Rd, Towson, MD 21286-1464 | 2015-02-02 |
| 1932538246 | Andrea Lisa Vella-camilleri | Nurse Anesthetist, Certified Registered | 5 Midcrest Ct, Towson, MD 21286-1604 | 2013-11-06 |
| 1659373173 | Kwan Lan Lee | Nurse Anesthetist, Certified Registered | 6701 N Charles St Ste 4226, Towson, MD 21204-6808 | 2005-08-15 |
| 1538771613 | Kelly Meginnis Lock | Nurse Anesthetist, Certified Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-08-19 |
| 1528685229 | Claire Du | Nurse Anesthetist, Certified Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-06-29 |
| 1083178453 | Rita Kesselman | Nurse Anesthetist, Certified Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2019-01-30 |
| 1154872620 | First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2016-10-20 |
| 1356734560 | Susan Njenga | Nurse Anesthetist, Certified Registered | 901 Dulaney Valley Rd Ste 220, Towson, MD 21204-0621 | 2015-03-12 |
| 1831532811 | Faresha L Sims | Nurse Anesthetist, Certified Registered | 212 Washington Ave, Apt 1105, Towson, MD 21204-4700 | 2013-04-09 |
| Find all providers in TOWSON | ||||
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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.