John D Wall (NPI# 1316044324, PAC ID# 5193825586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1316044324 |
| PAC ID by PECOS | 5193825586 |
| Professional Enrollment ID | I20070713000823 |
| Full Name | John D Wall |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Address |
800 E Locust St Olney IL 62450-2553 |
| Phone Number | 6183957340 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3870565732 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140147 | RICHLAND MEMORIAL HOSPITAL |
| 140091 | THE CARLE FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 303 Northwest 11th St, Fairfield, IL 62837-1203 | 61884246174814 | FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION |
| 800 E Locust St, Olney, IL 62450-2553 | 6183957340 | RICHLAND MEMORIAL HOSPITAL INC |
| Organization Legal Name | RICHLAND MEMORIAL HOSPITAL INC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen L Ginder | Nurse Practitioner | Richland Memorial Hospital Inc | 101 Industry Rd, Bridgeport, IL 62417-2442 |
| Katherine E Myers | Nurse Practitioner | Richland Memorial Hospital Inc | 605 E Main St, Olney, IL 62450-2163 |
| Tanner M Miller | Internal Medicine | Richland Memorial Hospital Inc | 500 S Scott Ave, Newton, IL 62448-1665 |
| Raymond L Fisher | Cardiovascular Disease (cardiology) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Melissa N Kuenstler | Nurse Practitioner | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Thomas Falcone | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Stephanie D Gordon | Certified Nurse Midwife (cnm) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Gail Mowrer Greathouse | Nurse Practitioner | Richland Memorial Hospital Inc | 100 S Main St, West Salem, IL 62476-1202 |
| Mary M Waller | Urology | Richland Memorial Hospital Inc | 1200 N E St, Olney, IL 62450-2432 |
| Peter M Mccool | Emergency Medicine | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Street Address |
800 E LOCUST ST |
| City | OLNEY |
| State | IL |
| Zip | 62450-2553 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond L Fisher | Cardiovascular Disease (cardiology) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Melissa N Kuenstler | Nurse Practitioner | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Thomas Falcone | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Stephanie D Gordon | Certified Nurse Midwife (cnm) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Peter M Mccool | Emergency Medicine | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Robert J Fox | Nurse Practitioner | 800 E Locust St, Milwaukee, WI 53212-2634 | |
| Benjamin S Curtis | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| John Vincent Allen | Certified Registered Nurse Anesthetist (crna) | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Muriel Franchell Freeman | Podiatry | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Monica N Scott | Nurse Practitioner | Richland Memorial Hospital Inc | 800 E Locust St, Olney, IL 62450-2553 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua C Feddes | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Tara Beth Mckinney | Chiropractic | 200 N W St, Olney, IL 62450-1108 | |
| Gary Roe Street | Chiropractic | 400 S W St, Olney, IL 62450-1217 | |
| Ronald J Greenberg | Chiropractic | 731 S W St, Olney, IL 62450-1309 | |
| Jack Anthony Cole | Psychologist, Clinical | 302 S Kitchell Ave E, Olney, IL 62450-1500 | |
| Amanda J Schlick | Chiropractic | 600 W Main St, Olney, IL 62450-1542 | |
| Nathan A Stevens | Chiropractic | 600 W Main St, Stevens Chiropractic Clinic, Olney, IL 62450-1542 | |
| Deanna Fields | Nurse Practitioner | 117 N Boone St, Olney, IL 62450-2109 | |
| Daniel J Brown | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Clark E Deshon | Optometry | Optometric Eyecare Inc. | 303 E Main St, Olney, IL 62450-2117 |
| Find all physicians in zip 62450 | |||
| City | OLNEY |
| Zip Code | 62450 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | OLNEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on John D Wall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.