MRS. SARA JANE WALLACE (NPI# 1619993334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619993334 |
| Entity Type | Individual |
| Full Name | MRS. SARA JANE WALLACE |
| Credential | PA |
| Practice Address |
1450 Chapel St New Haven CT 06511-4405 |
| Mailing Address |
512 Scenic Rd Orange CT 06477-2127 |
| Practice Telephone | 2037893000 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001693 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804320 | Sara Wallace | Psychologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-06-02 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1417278995 | Sara Jane Wallace | Social Worker | 6407 Austinburg Rd, Ashtabula, OH 44004-9306 | 2010-06-18 |
| 1659460087 | Sara A Wallace | Chiropractor | 17903 Roy St, Lansing, IL 60438-2327 | 2006-10-12 |
| 1750908174 | Sara Davis Wallace | Nurse Practitioner | 600 E Palmetto St, Florence, SC 29506-2851 | 2020-07-01 |
| 1447895776 | Sara Wallace | Psychologist | 11824 Ransum Dr, Louisville, KY 40243-2802 | 2019-11-11 |
| 1447764030 | Sara Michelle Wallace | Case Manager/Care Coordinator | 1400 N Norma St Ste 133, Ridgecrest, CA 93555-2577 | 2017-11-19 |
| 1114464310 | Sara W Wallace | Nurse Practitioner | 950 Sanders Rd, Cumming, GA 30041-5960 | 2017-01-25 |
| 1356576185 | Sara Elizabeth Wallace | Physical Therapist | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2009-05-22 |
| 1811142557 | Sara N Wallace | Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | 2008-11-21 |
| Street Address |
1450 CHAPEL ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272949 | Bhupesh Mangla | Internal Medicine | 1450 Chapel St, Department of Medicine, Hospital of Saint Raphael, New Haven, CT 06511-4405 | 2005-06-01 |
| 1326652108 | Christiana Moustakas O'hara | Speech-Language Pathologist | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-31 |
| 1699388728 | Travis Pyka | Registered Nurse | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-28 |
| 1013527423 | Julie Lynn West | Psychiatry & Neurology | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-01 |
| 1801405840 | Melina Catherine Proto | Registered Nurse | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-07-27 |
| 1053935163 | Hilary Bartholomay | Nurse Practitioner | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-06-04 |
| 1932728151 | Stephanie Mock | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-04-09 |
| 1407415169 | Lisa Hanna | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| 1841859667 | Russell Clifford Sage | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| 1194384933 | Emily Tiglio | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1902334436 | Lauren Veronica Boggs | Physician Assistant | 45 Ley St, New Haven, CT 06512-3921 | 2017-05-29 |
| 1831353853 | Dina Weiner | Physician Assistant | 840 Howard Ave Fl 1, New Haven, CT 06519-1106 | 2008-07-18 |
| 1528244027 | Gerald Kayingo | Physician Assistant | 211 Fountain St, Apt 12, New Haven, CT 06515-1979 | 2008-01-14 |
| 1821219783 | Susanne Atkins | Physician Assistant | 175 Sherman Avenue, New Haven, CT 06511 | 2007-05-01 |
| 1023133626 | John Sceppa | Physician Assistant | Yale -new Haven Hospital, 20 York St., New Haven, CT 06510-3202 | 2007-03-20 |
| 1922147578 | Janice Decho | Physician Assistant | 20 York St Cb- 2041, New Haven, CT 06504-8900 | 2007-02-06 |
| 1578613964 | Brian Patrick Munday | Physician Assistant | 800 Howard Ave Lower Level, Comprehensive Epilepsy Center LLCi 716, New Haven, CT 06520-8018 | 2007-01-10 |
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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.