WAYNE WALLENDER


Address: 1001 E Primrose St, Springfield, MO 65807-5155
Phone: 4178753095

WAYNE WALLENDER (NPI# 1710927132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710927132
Entity Type Individual
Full Name WAYNE WALLENDER
Credential D.O.
Practice Address 1001 E Primrose St
Springfield
MO 65807-5155
Mailing Address Po Box 9007
Springfield
MO 65808-9007
Practice Telephone 4178753095
Practice Fax Number 4178753570
Mailing Telephone 4178753462
Enumeration Date 2006-06-07
Last Update Date 2018-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
R1P10 MO Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
R1P10 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 243003100 05
MO 1710927132 05
MO RR PTAN P01382375 01

Office Location

Street Address 1001 E PRIMROSE ST
City SPRINGFIELD
State MO
Zip Code 65807-5155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013915792 Robert Clayton Scanlon II Urology 1001 E Primrose St, Springfield, MO 65807-5155 2005-07-07
1619580537 Nathaniel Levi Kenady Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2020-08-29
1891343893 Connie J Garrett Dietitian, Registered 1001 E Primrose St, Springfield, MO 65807-5155 2019-09-03
1689236085 Lindsey Joy Gelber Dietitian, Registered 1001 E Primrose St, Springfield, MO 65807-5155 2019-07-05
1174186654 Stephenie Michele Zinter Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2019-04-19
1215495650 Mikel Dashtipour Physician Assistant 1001 E Primrose St, Springfield, MO 65807-5155 2019-03-05
1043774789 Arielle M Campbell Physician Assistant 1001 E Primrose St, Springfield, MO 65807-5155 2019-01-28
1649755919 Stephanie Lynn Brown Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2018-10-02
1114401312 Teresa Cunningham Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2018-09-24
1336629120 Katelynne D Haun Nurse Practitioner 1001 E Primrose St, Springfield, MO 65807-5155 2018-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669422978 The Brooks Clinic for Pain Management, Inc. Pain Medicine 1730 E Republic Rd, Suite Sa, Springfield, MO 65804-6549 2006-05-10
1447270228 Northern Pain Mgm Ctr Pain Medicine 125 Liberty St, Suite 100, Springfield, MA 01103-1114 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750896635 Stl Surgical LLC Pain Medicine 12184 Natural Bridge Rd, Bridgeton, MO 63044-2017 2017-12-13
1861832503 St Louis Neuropathy and Pain Relief Center LLC Pain Medicine 10777 Sunset Office Dr Ste 40, Saint Louis, MO 63127-1019 2013-06-26
1326311747 Greater St. Louis Pain Management, Corp. Pain Medicine 11716 Studt Avenue, St. Louis, MO 63141-7018 2012-02-15
1174626840 Phung T Dang Pain Medicine 12414 Stratford Ridge Ct, Saint Louis, MO 63141-6383 2006-09-07
1114034931 Mahendra Gunapooti Pain Medicine 261 Dunn Rd, Florissant, MO 63031-7928 2006-08-25
1154376788 Sam Martin Pain Medicine 2025 S Brentwood Blvd, Suite 200, Brentwood, MO 63144-1833 2006-05-23
1578197927 Surgery Cneters of Missouri Pain Medicine 8225 Clayton Rd, Clayton, MO 63117-1107 2020-02-25
1730710369 Regen Ortho Spine & Pain LLC Pain Medicine 60 Business Park Dr Ste A, Troy, MO 63379-2828 2020-02-02
1508363946 A & N Health Solutions LLC Pain Medicine 12607 Olive Blvd, Creve Coeur, MO 63141-6313 2018-04-11
1407384944 Iprri LLC Pain Medicine 10435 Clayton Rd Ste 120, Saint Louis, MO 63131-2930 2017-05-29
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Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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