DR. JOHN WALLACE M.D. NPI 1225292634

NPI Information

  • NPI: 1225292634
  • Provider Name: DR. JOHN WALLACE, M.D.
  • Classification: Anesthesiology - 207L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9321 W THOMAS RD STE 205
    PHOENIX, AZ
    ZIP 85037
  • Phone: (866) 974-2673

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NPI Details

DR. John Wallace, M.D. is an anesthesiology in Phoenix, AZ with 17 years of experience. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. DR. John Wallace, M.D. NPI is 1225292634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2008

The provider's business location address is:

9321 W THOMAS RD STE 205
PHOENIX, AZ
ZIP 85037-392
Phone: (866) 974-2673
Fax: (866) 939-2673

The NPI 1225292634 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 7/15/2008 and was last updated on 4/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology4301093046MICHIGANNo
2208VP0000XPain MedicinePain Medicine52631ARIZONANo
3207L00000XAnesthesiology52631ARIZONAYes
4390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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