DR. MARK LEWIS VANDEWALKER (NPI# 1386833358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386833358 |
| Entity Type | Individual |
| Full Name | DR. MARK LEWIS VANDEWALKER |
| Credential | M.D. |
| Practice Address |
601 W Nifong Blvd Suite 2b Columbia MO 65203-6804 |
| Practice Telephone | 5734467000 |
| Practice Fax Number | 5734451000 |
| Mailing Telephone | 5734467000 |
| Mailing Fax Number | 5734451000 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
R2F17 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
601 W NIFONG BLVD SUITE 2B |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332425 | Marsha Kempf | Nurse Practitioner | 601 W Nifong Blvd, Ste. 6a, Columbia, MO 65203-6804 | 2005-08-10 |
| 1366093239 | Lauren Alexandra Williams | Counselor | 601 W Nifong Blvd, Columbia, MO 65203-6804 | 2019-09-23 |
| 1942861034 | John Caleb Cheavens Jr. | Counselor | 601 W Nifong Blvd, Columbia, MO 65203-6804 | 2019-06-28 |
| 1306372990 | Accurate Advantage, LLC. | Pharmacy | 601 W Nifong Blvd, Bldg. 6c, Suite 11, Columbia, MO 65203-6804 | 2017-05-03 |
| 1063861474 | John Wietholder Dmd PC | Dentist | 601 W Nifong Blvd, Ste 3a, Columbia, MO 65203-6804 | 2016-06-07 |
| 1336573948 | Tracey Steele | Social Worker | 601 W Nifong Blvd, Bldg. 5a, Columbia, MO 65203-6804 | 2013-08-30 |
| 1558604082 | Jane Jeffries Piester | Social Worker | 601 W Nifong Blvd, Building 1 Suite 1e, Columbia, MO 65203-6804 | 2013-04-03 |
| 1457698771 | Brian Bowles | Counselor | 601 W Nifong Blvd, Building 1, Ste 1e, Columbia, MO 65203-6804 | 2013-01-07 |
| 1740532050 | Amy Marie Fitzwater | Counselor | 601 W Nifong Blvd, Suite 1b, Building 1, Columbia, MO 65203-6804 | 2012-10-10 |
| 1134431711 | Pamela J Huwieler | Counselor | 601 W Nifong Blvd, 5a-12, Columbia, MO 65203-6804 | 2010-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205063500 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 601 W Nifong Blvd Ste 2b, Columbia, MO 65203-6804 | 2009-06-15 |
| 1588869911 | Dara L Neuman-sunshine | Allergy & Immunology | 10025 Governor Warfield Parkway, Suite 410, Columbia, MD 21044 | 2007-06-16 |
| 1023105277 | Allergy and Asthma, LLC | Allergy & Immunology | 7045a Saint Andrews Rd, Columbia, SC 29212-1177 | 2006-10-09 |
| 1902095979 | William Edward Stricker | Allergy & Immunology | 601 W Nifong Blvd, Suite 2b, Columbia, MO 65203-6804 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891009361 | David L Straub, M.d.,p.c. | Allergy & Immunology | 706 W 26th St, Joplin, MO 64804-1918 | 2010-07-27 |
| 1033346267 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 407a E Russell Ave Ste 3, Warrensburg, MO 64093-1266 | 2009-06-15 |
| 1275714743 | St Louis Allergy Consultants Inc | Allergy & Immunology | 621 S New Ballas Rd Ste 368, Saint Louis, MO 63141-8232 | 2007-11-26 |
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1427189950 | Allergy and Asthma Consultants, PC | Allergy & Immunology | 711 Old Ballas Rd., Suite 100, St. Louis, MO 63141-7068 | 2007-03-08 |
| 1265599591 | Lawrence Paul Landwehr | Allergy & Immunology | 407 A. East Russell Avenue, Suite 3, Warrensburg, MO 64093 | 2007-01-03 |
| 1629132683 | Tipu Sultan | Allergy & Immunology | 11585 W Florissant Ave, Florissant, MO 63033-6740 | 2006-12-21 |
| 1376658534 | Allergy and Asthma Consultants of The Ozark,ltd | Allergy & Immunology | 1233 Jefferson St, Jefferson City, MO 65109-2469 | 2006-08-20 |
| 1407960776 | Michael Lewis Loren | Allergy & Immunology | 4963 Ne Goodview Cir, Suite A, Lees Summit, MO 64064-1998 | 2006-08-17 |
| 1174596860 | Laura A Esswein | Allergy & Immunology | 10024 Watson Rd, Saint Louis, MO 63126-1829 | 2006-02-11 |
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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.