Jonathan O Wallace is a Mobile, Alabama based nurse anesthetist with 20 years of experience as Anesthesia Administration. He completed he graduation in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jonathan O Wallace is 1101813 for Nurse Anesthetist in Alabama. his current practice location is 5 Mobile Infirmary Cir, Mobile. Patients can reach him at 251-432-4497 or can fax him at 251-432-0577. Jonathan O Wallace is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1609821156. Jonathan O Wallace is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jonathan O Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
20+ years
Medical School Attended:
Other
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5 Mobile Infirmary Cir, Mobile, Alabama, 36607-3513
Phone:
251-432-4497
Fax:
251-432-0577
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294744348
Enrollment ID:
I20060418000337
NPI Number:
1609821156
NPI Enumeration Date:
23 May, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan O Wallace are as mentioned below.
License Number
Specialization
State
Status
1101813
Nurse Anesthetist
Alabama
Primary
1101813
Anesthesia Administration
Alabama
Secondary
1101813
Anesthesiology
Alabama
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mobile Infirmary Medical Center (010113)
Mobile, AL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jonathan O Wallace has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Anesthesiologists Associated Pc (6204739519)
362
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 934369, Atlanta, Georgia
Zip:
31193-0001
Phone Number:
800-897-6169
Fax Number:
800-897-6170
Patients can reach Jonathan O Wallace at 5 Mobile Infirmary Cir, Mobile, Alabama or can call to book an appointment on 251-432-4497.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.