MARK RICHARD WAKEFIELD (NPI# 1649226291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226291 |
| Entity Type | Individual |
| Full Name | MARK RICHARD WAKEFIELD |
| Credential | MD |
| Practice Address |
One Hospital Drive Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738821771 |
| Practice Fax Number | 5738847453 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 106072 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209289404 | 05 | |
| MO | RAILROAD MEDICARE | P00415790 | 01 |
| MO | RR MEDICARE | P00147243 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| One Hospital Drive, Columbia, MO 652120001 | 5738821151 | 5738847453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568617702 | Mark Edward Wakefield | Counselor | 1709 S Park St, Madison, WI 53713-1200 | 2008-12-01 |
| 1104291426 | Mark Wakefield | Registered Nurse | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2015-12-11 |
| Street Address |
ONE HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447745260 | Lawrence Xuan Zhang | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-25 |
| 1528553492 | David Win Lee | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1699260562 | Ian Thomas Lynch | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1992290852 | Nicholas Brian Epstein | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1447745302 | Meenakshi Praharaju Giri | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1982199840 | Tamar Gubeladze | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1316432289 | Tyler James Maxey | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1033604905 | Richard Dale Swaney | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1205321171 | Ali Ahsen Syed | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| 1700371671 | Kayci Rachele Huslig | Internal Medicine | One Hospital Drive, Ma423, Columbia, MO 65212 | 2018-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1336567353 | Katherine Smentkowski | Urology | 10710 Charter Dr Ste 130, Columbia, MD 21044-3258 | 2014-04-07 |
| 1083032445 | Boston Medical Group- Maryland, P.C. | Urology | 5500 Knoll Drive, Suite 220, Columbia, MD 21045 | 2014-04-02 |
| 1104087584 | Jennifer L Bepple | Urology | 10710 Charter Dr., Suite 130, Columbia, MD 21044-3128 | 2008-06-19 |
| 1740365857 | John Mark Mcmurtry | Urology | 3315 Berrywood Dr, Suite 201, Columbia, MO 65201-6571 | 2006-10-26 |
| 1962443887 | Thomas B Edmunds | Urology | 2724 Middleburg Dr, Columbia, SC 29204-2437 | 2006-06-10 |
| 1922099407 | Rex Brugh IIi | Urology | 9 Richland Medical Park, Suite 500, Columbia, SC 29203-6859 | 2005-11-02 |
| 1265433916 | Charlotte Anne Batey | Urology | 1407 Hatcher Ln, Columbia, TN 38401-3535 | 2005-08-03 |
| Find all providers in COLUMBIA | ||||
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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.