SARA WALLACE (NPI# 1861804320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861804320 |
| Entity Type | Individual |
| Full Name | SARA WALLACE |
| Credential | ED.S. |
| Practice Address |
6506 State Route 229 Marengo OH 43334-9738 |
| Mailing Address |
225 Switchback Ct Delaware OH 43015-4315 |
| Practice Telephone | 4197683040 |
| Mailing Telephone | 3305091617 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH3151539 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1619993334 | Sara Jane Wallace | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2006-07-14 |
| Street Address |
6506 STATE ROUTE 229 |
| City | MARENGO |
| State | OH |
| Zip Code | 43334-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275933632 | Leslie Reid | Speech-Language Pathologist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-09-03 |
| 1043610603 | Miranda Ulrey | Occupational Therapist | 6506 State Route 229, Marengo, OH 43334-9738 | 2014-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047049 | Jordan Mayberry | Dentist | 73 Sportsman Dr Ste A, Marengo, OH 43334 | 2017-04-17 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1528498011 | Brittney Lynn Fields | Licensed Practical Nurse | 8526 Lott Road, Marengo, OH 43334 | 2013-11-19 |
| 1578731014 | Marianne Mcgahey | Occupational Therapy Assistant | 825 Oh-61, Marengo, OH 43334 | 2008-02-19 |
| 1790996700 | Robyn Denise Stiffler | Registered Nurse | 5585 Twp Rd 21, Marengo, OH 43334 | 2007-05-24 |
| 1518095892 | Cindy L Obryant | Pharmacist | 27 South Main St, Marengo, OH 43334 | 2007-03-01 |
| 1457489775 | Larry Jay Hildebrand | Pharmacist | 27 Main St 47, Marengo, OH 43334 | 2007-02-28 |
| 1043358849 | Trudy Lynn Cummins | Licensed Practical Nurse | 3621 Twp Rd 161, Marengo, OH 43334 | 2007-02-02 |
| 1689743320 | Yourx Store Inc | Pharmacy | 27 S Main Street, Marengo, OH 43334 | 2006-11-07 |
| 1033231386 | Mark Zachary Zader | Chiropractor | 4560 State Route 229, Suite B, Marengo, OH 43334 | 2007-04-06 |
| Find all providers in zip 43334 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896361 | Erika Nelson | Psychologist | 110 Franks Rd, Marengo, IL 60152-3425 | 2017-12-05 |
| 1417469644 | Janet Schultz | Psychologist | 816 E Grant Hwy, Marengo, IL 60152-3400 | 2017-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
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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.