SHARON K WALLACE (NPI# 1629023239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629023239 |
Entity Type | Individual |
Full Name | SHARON K WALLACE |
Credential | MD |
Practice Address |
70 Doctors' Park Cape Girardeau MO 63703 |
Practice Telephone | 5733346071 |
Practice Fax Number | 5733344739 |
Mailing Telephone | 5733346071 |
Mailing Fax Number | 5733344739 |
Enumeration Date | 2006-05-23 |
Last Update Date | 2013-12-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
2009008972 | MO | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2009008972 | MO | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0063205 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | BLUECHOICE | S187 / 0024 | 01 |
MD | BC / BS OF MD | KDA7 / 645989-01 | 01 |
MD | 408165000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982898540 | Sharon Simara Wallace | Technician, Other | 202 Blossom Ct, Paso Robles, CA 93446-2870 | 2007-08-28 |
1326022724 | Sharon Renee Wallace | Family Medicine | 2900 North Loop W Ste 1300, Houston, TX 77092-8815 | 2005-11-30 |
1245856616 | Sharon Wallace | Behavior Technician | 33 Perry Ave, Attleboro, MA 02703-2417 | 2020-06-22 |
1205478591 | Sharon D Wallace | Student in an Organized Health Care Education/Training Program | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-10-08 |
1396398921 | Sharon Louise Wallace | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-07-23 |
1548658297 | Sharon Wallace | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2015-01-05 |
1043468473 | Sharon Denice Wallace | Physical Therapy Assistant | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-27 |
1770730202 | Sharon Wallace | Registered Nurse | 103 Washington St, Elmira, NY 14901-3220 | 2008-08-27 |
1659562122 | Sharon L Wallace | Dietitian, Registered | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2007-08-08 |
Street Address |
70 DOCTORS' PARK |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992907968 | Bradley Stockmann | Radiology | 70 Doctors' Park, Cape Girardeau, MO 63703 | 2007-06-01 |
1619179991 | Jeffrey R Wichman | Radiology | 70 Doctors' Park, Cape Girardeau, MO 63703 | 2007-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
1073563755 | Breast Care and Diagnostic Center LLC | Radiology | 60 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-05-11 |
1578533840 | Jacqueline A Treschuk-bahn | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-01-26 |
1083018428 | Yuan Yuan Xie | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-10-14 |
1699195701 | Evan Mason | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-04-16 |
1780968198 | Ryan Bernarr Siebert | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-10-04 |
1609163500 | Patrick Michael Keating | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-06-30 |
1124357926 | Blair Gordon Gill | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-12-08 |
1487883666 | Evan Barclay Moser | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-07-08 |
1053576827 | Jeffrey William Boss | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2008-07-22 |
Find all providers in CAPE GIRARDEAU |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
Please comment or provide details below to improve the information on SHARON K WALLACE.
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.