Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Wallace, MD

Individual provider Anesthesiology Physician · NPI 1225292634

Dr. John Wallace, MD is an Anesthesiology in Phoenix, Arizona. Graduated from Michigan State University College of Human Medicine in 2008, 18 years ago. Practices with Center for Orthopedic Research and Education LLC, a 252-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Michigan.

Years since qualifying
18
Trained at
Michigan State University College of Human Medicine
Licensed in
AZ, MI
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9321 W Thomas Rd Ste 205
Phoenix, AZ 85037-3392
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 52631 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301093046 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 52631 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225292634
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2008
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2008 (18 years in practice)
Group practice Center For Orthopedic Research And Education Llc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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