DR. STANLEY D. WIGGINS (NPI# 1194826164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194826164 |
| Entity Type | Individual |
| Full Name | DR. STANLEY D. WIGGINS |
| Credential | MD |
| Practice Address |
2115 S Fremont Ave Suite 4300 Springfield MO 65804-2239 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178203911 |
| Practice Fax Number | 4178203924 |
| Mailing Telephone | 4178202000 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
100610 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
100610 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203371612 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131604 | Stanley L Wiggins | Pediatrics | 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990-3252 | 2005-11-15 |
| Street Address |
2115 S FREMONT AVE SUITE 4300 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383543 | Steven K Bowlin | Internal Medicine | 2115 S Fremont Ave, Ste 2300, Springfield, MO 65804-2239 | 2005-08-11 |
| 1932656535 | Jill Cotner | Registered Nurse | 2115 S Fremont Ave, Ste 3300, Springfield, MO 65804-2239 | 2016-09-01 |
| 1427437185 | Ashleigh D. Gentles | Nurse Practitioner | 2115 S Fremont Ave, Springfield, MO 65804-2239 | 2015-05-27 |
| 1063805489 | Chad D. Holland | Physician Assistant | 2115 S Fremont Ave, Suite 5000, Springfield, MO 65804-2239 | 2015-03-10 |
| 1609267731 | Chrystal M. Killinger | Nurse Practitioner | 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 | 2015-02-11 |
| 1497145767 | Joshua Steven Reece | Physician Assistant | 2115 S Fremont Ave, Ste 5000, Springfield, MO 65804-2239 | 2015-01-26 |
| 1154724144 | Melissa Diane Grisaffe | Nurse Practitioner | 2115 S Fremont Ave, Springfield, MO 65804-2239 | 2014-10-03 |
| 1790102366 | Breanna R. Burks | Physician Assistant | 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 | 2014-03-21 |
| 1154745537 | Tarrah Divine | Nurse Practitioner | 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 | 2014-02-06 |
| 1831539428 | Lacy A. Schnelle | Registered Nurse | 2115 S Fremont Ave, Suite 4300, Springfield, MO 65804-2239 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
| 1669913349 | Laura Grubb | Internal Medicine | 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 | 2017-03-15 |
| 1265974604 | Julie Borjon | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-11-16 |
| 1265827729 | Jessica E Lucca | Internal Medicine | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2015-04-01 |
| 1619278074 | Wesley Brian Zwiefel | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701-1034 | 2010-11-16 |
| 1689852691 | Nadavaluru S Reddy | Internal Medicine | 2 Medical Center Dr, Suite 410, Springfield, MA 01107-1270 | 2008-02-01 |
| 1356544993 | Aparna Cherla | Internal Medicine | 3800 S National Ave, Springfield, MO 65807-5209 | 2007-06-11 |
| 1093861601 | John Brian Garner | Internal Medicine | 3800 S National Ave, Suite 400, Springfield, MO 65807-5209 | 2007-01-26 |
| 1578647970 | Edward Teaman Jr. | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366451635 | Eric S Williams | Internal Medicine | 625 S New Ballas Rd Ste 2030, Saint Louis, MO 63141-8253 | 2006-08-05 |
| 1548214158 | John K Lee | Internal Medicine | 20 Ne Saint Luke's Blvd, Suite 240, Kansas City, MO 64086 | 2006-05-19 |
| 1205809175 | Carey S Fredman | Internal Medicine | 222 S Woods Mill Rd Ste 400n, Chesterfield, MO 63017-3610 | 2006-02-09 |
| 1629439187 | St. Louis Electrophysiology Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr Ste 404, Chesterfield, MO 63017-3519 | 2016-03-11 |
| 1427449487 | Prime Healthcare Kansas City - Physician Services LLC | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-02-12 |
| 1679836381 | Jefferson Cardiovascular and Thoracic Services | Internal Medicine | 1390 Us Highway 61, Suite 3301, Festus, MO 63028-4137 | 2012-06-18 |
| 1164726758 | The Heart Specialty Associates, LLC | Internal Medicine | 10012 Kennerly Rd Ste 403, Saint Louis, MO 63128-2197 | 2010-12-22 |
| 1518280395 | Saint Luke's Physician Group I, LLC | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2010-03-08 |
| 1104036029 | Jason Alan Rytlewski | Internal Medicine | 1605 East Broadway, #300, Columbia, MO 65201 | 2007-05-22 |
| 1891866018 | Alan P Wimmer | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2006-11-10 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.