Provider Profile

Marty D. Wallace, CRNA

Unclaimed Profile

About Marty Wallace

Marty D. Wallace, CRNA is a certified registered nurse anesthetist practicing in Johnson City, TN. Medicare claims data shows Marty provided 76 services to 73 patients. The services billed most often include anesthesia for extensive surgery on spine and anesthesia for other procedure on lower spine.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2008

Specialty

Certified Registered Nurse Anesthetist (Primary)

Credentials & Licensing

TN licenseAPN13700
NPI1164674743
NPI issued10/15/2008

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Marty D. Wallace specialize in?

Marty D. Wallace is a certified registered nurse anesthetist in Johnson City, TN. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Marty D. Wallace located?

Marty D. Wallace is listed at 1114 Sunset Dr Suite 4, Johnson City, TN 37604. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Marty D. Wallace's phone number?

The number on file is (423) 283-0776. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Marty D. Wallace?

Marty D. Wallace's National Provider Identifier is 1164674743. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Marty D. Wallace train?

Marty D. Wallace attended Other, graduating in 2008. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Marty D. Wallace have?

Marty D. Wallace has 18 years experience. Calculated from a graduation year of 2008, reported in the CMS National Downloadable File.

CMS public data

What does Marty D. Wallace do most often?

According to Medicare billing data, Marty D. Wallace provides treatments such as anesthesia for extensive surgery on spine and anesthesia for other procedure on lower spine. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Marty D. Wallace's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Marty D. Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.