DARRYL WALLACE (NPI# 1477592210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477592210 |
Entity Type | Individual |
Full Name | DARRYL WALLACE |
Credential | MD |
Practice Address |
4321 Washington St Suite 4000 Kansas City MO 64111-5961 |
Mailing Address |
Po Box 504407 Saint Louis MO 63150-4407 |
Practice Telephone | 8169324549 |
Mailing Telephone | 8169327947 |
Mailing Fax Number | 8169327957 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2012-10-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
R5048 | MO | Allopathic & Osteopathic Physicians |
N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
415529 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HEALTHCARE USA | 33690 | 01 | |
UHC | 7400202 | 01 | |
AETNA | 4602518 | 01 | |
RAILROAD MEDICARE | 910000367 | 01 | |
BCBS OF KC | 09381035 | 01 | |
MO | 201094802 | 05 |
Street Address |
4321 WASHINGTON ST SUITE 4000 |
City | KANSAS CITY |
State | MO |
Zip Code | 64111-5961 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083610539 | Gwendolyn Arnett | Radiology | 4321 Washington St, Ste 1000, Kansas City, MO 64111-5961 | 2005-06-21 |
1710539507 | Kadie Harry | Psychologist | 4321 Washington St, Kansas City, MO 64111-5905 | 2019-07-11 |
1609317049 | Colleen Coleman | Nurse Practitioner | 4321 Washington St, Mp IIi, Suite 4000, Kansas City, MO 64111-5961 | 2017-03-18 |
1629516521 | Vicky L Taylor | Registered Nurse | 4321 Washington St, Suite 6100, Kansas City, MO 64111-5961 | 2017-02-10 |
1952849838 | Susan P Lieber | Registered Nurse | 4321 Washington St, Suite 6100, Kansas City, MO 64111-5961 | 2017-02-10 |
1093253973 | Armida N Olson | Registered Nurse | 4321 Washington St, Suite 6100, Kansas City, MO 64111-5961 | 2017-02-10 |
1801334933 | Ann M Davin | Registered Nurse | 4321 Washington St, Suite 6100, Kansas City, MO 64111-5961 | 2017-02-09 |
1356884118 | Kaitlyn Kremers | Nurse Practitioner | 4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 | 2016-11-28 |
1407304553 | Savannah Joy Geske | Psychologist | 4321 Washington St, Suite 4000, Kansas City, MO 64111-5961 | 2016-09-19 |
1194174227 | Emily J Beerman | Nurse Practitioner | 4321 Washington St, Medical Plaza IIi Suite 6000, Kansas City, MO 64111-5961 | 2016-06-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
Find all providers in zip 64111 |
Taxonomy Code | 207VX0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecologic Oncology |
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477532240 | Dineo Khabele | Obstetrics & Gynecology | 3901 Rainbow Blvd., Ms 2028, University of Kansas Medical Center - Dept of Ob/gyn, Kansas City, KS 66160 | 2006-01-11 |
1174835136 | Blair Smith | Obstetrics & Gynecology | 2340 E Meyer Blvd Ste 546, Kansas City, MO 64132-1110 | 2010-07-07 |
1386960359 | Michelle Renee Rowland | Obstetrics & Gynecology | 4321 Washington St, Kansas City, MO 64111-5905 | 2010-04-15 |
1477579548 | Julia A Chapman | Obstetrics & Gynecology | 3901 Rainbow Blvd, Department of Ob/gyn, Kansas City, KS 66160-0001 | 2006-07-14 |
1588665020 | Resource Center for Gynecologic Oncology L.L.C. | Obstetrics & Gynecology | 6400 Prospect Ave, Suite 310, Kansas City, MO 64132-1100 | 2005-08-09 |
1407857881 | Verda J Hicks | Obstetrics & Gynecology | 6400 Prospect Ave, Suite 310, Kansas City, MO 64132-1100 | 2005-08-09 |
1326045766 | John C Weed Jr. | Obstetrics & Gynecology | 2316 E Meyer Blvd, 1 Cancer West, Kansas City, MO 64132-1136 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255395687 | Alaa A Elbendary | Obstetrics & Gynecology | 11652 Studt Ave, Saint Louis, MO 63141-7025 | 2006-04-13 |
1154385417 | Kevin O Easley | Obstetrics & Gynecology | 12855 North Forty Dr, Suite 200, St Louis, MO 63141 | 2006-04-13 |
1154393411 | Dan-arin Silasi | Obstetrics & Gynecology | 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 | 2006-02-02 |
1366423360 | Leslie S Massad | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2005-11-08 |
1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
1639176290 | Donald Clayton Patterson | Obstetrics & Gynecology | 503 E Nifong Blvd # 217, Columbia, MO 65201-3792 | 2005-06-28 |
1386079481 | Melissa Schwartz | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2013-09-08 |
1467688937 | Chotchai Srisuro, M.d., Inc. | Obstetrics & Gynecology | 1011 Bowles Ave, Suite G10, Fenton, MO 63026-2387 | 2009-06-10 |
1740462316 | Katherine Cynthia Fuh | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2007-12-05 |
1669671541 | Mercy Clinic Gyn Oncology, LLC | Obstetrics & Gynecology | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-8219 | 2007-07-12 |
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City | KANSAS CITY |
Zip Code | 64111 |
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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.