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Active NPI 1609821156 Individual Practitioner Male Practitioner

Jonathan O Wallace , CRNA

Anesthesiology • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jonathan Wallace, CRNA is a certified Anesthesiology practicing in Mobile, AL. With approximately 21 years of clinical experience since completing medical education in 2005, Jonathan Wallace delivers high-quality medical care to the local community at 5 MOBILE INFIRMARY CIR.

Jonathan Wallace is affiliated with Anesthesiologists Associated Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure in upper abdomen including use of an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Mobile Infirmary Cir

Mobile, AL 366073513

Telephone 2514324497
Fax 2514320577
Associated Practice Facility / Clinic
🏢 Mobile Infirmary Association Facility NPI 1558364802

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Mobile, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -6.6 yrs vs City Avg
City Avg: 27.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
59 Specialists

Practicing in Mobile, AL (610 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (21 Years) 21 Yrs
Mobile Specialty Average (27.6 Years) 27.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00790 Anesthesia for procedure in upper abdomen including use of an endoscope
12 12 $682.50 $183.05

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License AL 1101813

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.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License AL 1101813

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Hospital & Practice Group Affiliations

Anesthesiologists Associated Pc

701 Princeton Ave Sw, Birmingham, AL 352111303

Phone: 2058482925

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johnathan Bruns , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003091679

Certified Registered Nurse Anesthetist

Frances Thurber , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043387590

Certified Registered Nurse Anesthetist

Jennifer Thomas , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053596627

Certified Registered Nurse Anesthetist

Simon Saliba , AA

Anesthesiologist Assistant

NPI 1063605574
Tammy Thompson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083668446

Certified Registered Nurse Anesthetist

NPI 1093700775

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Nurse Anesthetist, Certified Registered (License #1101813 in AL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5 MOBILE INFIRMARY CIR, MOBILE, AL 366073513 (Tel: 2514324497)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 934369, ATLANTA, GA 311930001 (Tel: 8008976169)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONATHAN WALLACE, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiology (License #1101813 in AL)

🟢
Initial NPI Registration & Enumeration May 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609821156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 934369

Atlanta, GA 311930001

Phone: 8008976169

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.