Melynda K Wallace (NPI# 1881672137, PAC ID# 9335189588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
Nation Provider ID (NPI) | 1881672137 |
PAC ID by PECOS | 9335189588 |
Professional Enrollment ID | I20050506000094 |
Full Name | Melynda K Wallace |
Organization Legal Name | FAMILY HEALTH CENTER, P.A. |
Address |
252 Mechanic St Lebanon NH 03766-2618 |
Phone Number | 6034481941 |
Gender | F |
Credential | CNA |
Graduation Year | 1994 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Group Practice PAC ID | 4486635539 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
300005 | LAKES REGION GENERAL HOSPITAL |
301305 | ALICE PECK DAY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
80 Highland St, Laconia, NH 03246-3235 | 6035243211 | LRGHEALTHCARE |
252 Mechanic St, Lebanon, NH 03766-2618 | 6034481941 | FAMILY HEALTH CENTER, P.A. |
Organization Legal Name | FAMILY HEALTH CENTER, P.A. |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen S Loring | Internal Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
David W Beaufait | Family Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Ernst M Oidtmann | Family Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Lisa Buck-rogers | Physician Assistant | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Street Address |
252 MECHANIC ST |
City | LEBANON |
State | NH |
Zip | 03766-2618 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen S Loring | Internal Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
David W Beaufait | Family Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Ernst M Oidtmann | Family Medicine | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Lisa Buck-rogers | Physician Assistant | Family Health Center, P.a. | 252 Mechanic St, Lebanon, NH 03766-2618 |
Lawrence R Jenkyn | Neurology | 252 Mechanic St, Lebanon, NH 03766-2613 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rebecca M Zebo | Physician Assistant | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Donald W Ayres | Neurology | 106 Hanover St, Lebanon, NH 03766-1042 | |
Patrick A Schembri | Physician Assistant | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Hulda B Magnadottir | Neurosurgery | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Alyssa M Pearl | Physician Assistant | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Harold Pikus | Neurosurgery | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Kristin Jean Scott | Physician Assistant | Alice Peck Day Memorial Hospital | 106 Hanover St, Lebanon, NH 03766-1042 |
Bryan Jason Natusch | Chiropractic | Upper Valley Chiropractic Pllc | 103 Hanover St, Lebanon, NH 03766-1098 |
Amber L Mclelland | Chiropractic | Upper Valley Chiropractic Pllc | 103 Hanover St, Lebanon, NH 03766-1098 |
Dana P Silver | Podiatry | 103 Hanover St, Lebanon, NH 03766-1098 | |
Find all physicians in zip 03766 |
City | LEBANON |
Zip Code | 03766 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
City + Specialty | LEBANON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Melynda K 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.