Richard Anthony Wallace is a Harriman, Tennessee based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Richard Anthony Wallace is 9332 for Anesthesia Administration in Tennessee. his current practice location is 8045 Roane Medical Center Dr, Harriman. Patients can reach him at 865-316-1000. Richard Anthony Wallace is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1629031992.
Richard Anthony 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:
Richard Anthony 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 |
| Gender: | Male |
| Practice Address: | 8045 Roane Medical Center Dr, Harriman,
Tennessee, 37748-8333 |
| Phone: | 865-316-1000 |
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.
| NPI Number: | 1629031992 |
| NPI Enumeration Date: | 08 Apr, 2006 |
| NPI Last Update On: | 25 Sep, 2013 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Anthony Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 9332 | Anesthesia Administration | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard Anthony Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0454102553 | Other | Tennessee | TRICARE SOUTH HUMANA MILITARY |
| 4317478 | Other | Tennessee | BCBS - COVER TENNESSEE |
| 4317478 | Other | Tennessee | BCBS - MEDICARE ADVANTAGE (BLUEADVANTAGE) |
| 616644300 | Other | Tennessee | DEPT OF LABOR WORKER'S COMP - DEEOIC PROGRAM |
| 171975592453 | Other | Tennessee | HUMANA |
| 4317478 | Other | Tennessee | BCBS - BLUE SELECT |
| 3037582 | Other | Tennessee | CIGNA |
| 4317478 | Other | Tennessee | BCBS - TENNCARE SELECT |
| 4317478 | Other | Tennessee | BCBS - BLUE PREFERRED |
| 1527480 | Other | Tennessee | TENNCARE, EFFECTIVE 4/5/12 |
| 1527480 | Medicaid | Tennessee | |
| 4317478 | Other | Tennessee | BCBS - BLUECARE |
| 454102553 | Other | Tennessee | HUMANA GOLD |
| 616644300 | Other | Tennessee | DEPT OF LABOR WOKER'S COMP - FECA PROGRAM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 969 Oak Ridge Tpke # 316,
Oak Ridge, Tennessee |
| Zip: | 37830-8832 |
| Phone Number: | 865-256-7711 |
| Fax Number: | 866-548-0571 |
Patients can reach Richard Anthony Wallace at
8045 Roane Medical Center Dr, Harriman, Tennessee or can
call to book an appointment on 865-316-1000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.