Christi Ann Wallace (NPI# 1346535358, PAC ID# 6800046418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1346535358 |
| PAC ID by PECOS | 6800046418 |
| Professional Enrollment ID | I20131119000657 |
| Full Name | Christi Ann Wallace |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Address |
1302 Minnich Rd New Haven IN 46774-2052 |
| Phone Number | 2604696201 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981751617 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150150 | DUPONT HOSPITAL LLC |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3800 S Scatterfield Rd, Anderson, IN 46013-2621 | 7656422602 | MEDEXPRESS URGENT CARE PC INDIANA |
| 1980 N Main St, Bluffton, IN 46714-4100 | 2603532190 | QHG OF FORT WAYNE COMPANY LLC |
| 11635 Coldwater Rd, Fort Wayne, IN 46845-1256 | 2606371661 | QHG OF FORT WAYNE COMPANY LLC |
| 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2604346076 | LUTHERAN MEDICAL GROUP LLC |
| 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| 3717 Maplecrest Rd, Fort Wayne, IN 46815-8424 | 2604867334 | QHG OF FORT WAYNE COMPANY LLC |
| 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2604583830 | QHG OF FORT WAYNE COMPANY LLC |
| 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2603591250 | QHG OF FORT WAYNE COMPANY LLC |
| 4903 S Emerson Ave, Indianapolis, IN 46203-5938 | 3177867950 | MEDEXPRESS URGENT CARE PC INDIANA |
| 1313 W Mcgalliard Rd, Medexpress Urgent Care Muncie, Muncie, IN 47303-1774 | 7652878460 | MEDEXPRESS URGENT CARE PC INDIANA |
| 1302 Minnich Rd, New Haven, IN 46774-2052 | 2604696201 | LUTHERAN MEDICAL GROUP LLC |
| 1302 Minnich Rd, Suite D, New Haven, IN 46774-2052 | 2604252614 | LUTHERAN MEDICAL GROUP LLC |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
| George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
| Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
| Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
| Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
| Ibad Ul-haq Farooqui | Family Medicine | Lutheran Medical Group LLC | 402 E Main St, Fort Wayne, IN 46802-1910 |
| Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
| Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
| Street Address |
1302 MINNICH RD |
| City | NEW HAVEN |
| State | IN |
| Zip | 46774-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Sneary | Nurse Practitioner | Lutheran Medical Group LLC | 1302 Minnich Rd, New Haven, IN 46774-2052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Troy Hockemeyer | Optometry | Brackmann and Hockemeyer Optometry Inc | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 |
| Andrew David Hoffman | Optometry | Brackmann and Hockemeyer Optometry Inc | 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 |
| Susan L Bosler | Chiropractic | 108 Landin Rd, New Haven, IN 46774-1168 | |
| Mark E Richert | Chiropractic | 610 Professional Park Dr, New Haven, IN 46774-1995 | |
| Thomas W Bond | Family Medicine | Parkview Health System Inc | 1331 Minnich Rd, New Haven, IN 46774-2051 |
| Andrea Boley | Nurse Practitioner | Parkview Health System Inc | 1331 Minnich Rd, New Haven, IN 46774-2051 |
| Joy Darlene Pearson | Nurse Practitioner | Parkview Health System Inc | 1331 Minnich Rd, New Haven, IN 46774-2051 |
| Michael S Rumple | Family Medicine | Parkview Health System Inc | 1331 Minnich Rd, New Haven, IN 46774-2051 |
| Lawrence F Wuest | Family Medicine | Parkview Health System Inc | 1331 Minnich Rd, New Haven, IN 46774-2051 |
| Cheryl A Ertelt | Physical Therapy | Integrity Physical Therapy of Indiana, LLC | 1316 Minnich Rd, New Haven, IN 46774-2052 |
| Find all physicians in zip 46774 | |||
| City | NEW HAVEN |
| Zip Code | 46774 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW HAVEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christi Ann Wallace.
| 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.