RONALD G WHEELAND (NPI# 1730254327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730254327 |
| Entity Type | Individual |
| Full Name | RONALD G WHEELAND |
| Credential | MD |
| Practice Address |
1101 Hospital Drive Columbia MO 65212-0001 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738846144 |
| Practice Fax Number | 5738844610 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 12339 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2007021723 | MO | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
12339 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 742595 | 05 |
| Street Address |
1101 HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215986187 | Darcy D Folzenlogen | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-09 |
| 1184911174 | Nandhakumar Radhakrishnan | Speech-Language Pathologist | 1101 Hospital Drive, Columbia, MO 65205-7687 | 2011-06-29 |
| 1083811335 | Kari Lyn Martin | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-06-29 |
| 1992912968 | Jeffrey Paul North | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-05-17 |
| 1003984048 | Elisa M Amspacher | Nurse Practitioner | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-11-30 |
| 1558464776 | Ravi Nistala | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212 | 2006-09-06 |
| 1255388740 | Bert E Bachrach | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-28 |
| 1962459065 | Nasrollah Hakami | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-27 |
| 1417909466 | Stevan P Whitt | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-17 |
| 1497707996 | Hunter V Hofmann | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-16 |
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| 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 |
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| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083693857 | Carolina Dermatology Grp | Dermatology | 1706 St Julians Place, Columbia, SC 29204-2410 | 2006-01-11 |
| 1013145234 | Andrew Michael Basnett | Dermatology | 401 N Keene St, Columbia, MO 65201 | 2009-06-25 |
| 1073730693 | George Richard Nichols | Dermatology | 303 N Keene St, Suite 201, Columbia, MO 65201-7193 | 2007-04-18 |
| 1609960509 | Columbia Dermatology, Inc | Dermatology | 401 N Keene St, Columbia, MO 65201-6625 | 2006-10-03 |
| 1972576536 | Csc Acquisition, LLC | Dermatology | 3600 Forest Dr Ste 400, Columbia, SC 29204-4057 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1730352394 | First Capitol Dermatology, L.L.C. | Dermatology | 901 S. 5th St., First Capitol Dermatology, L.L.C., St. Charles, MO 63301-2416 | 2008-04-03 |
| 1124223011 | Ramona Behshad | Dermatology | 2315 Dougherty Ferry Rd Ste 200a, Saint Louis, MO 63122-3383 | 2007-06-19 |
| 1518925312 | Henry W Clever IIi | Dermatology | 901 S 5th St, St Charles, MO 63301 | 2006-05-02 |
| 1013912906 | George J. Hruza | Dermatology | 1001 Chesterfield Pkwy E, Ste 101, Chesterfield, MO 63017-2041 | 2005-06-16 |
| 1225482839 | United Skin Specialists Missouri Ltd, PC | Dermatology | 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017-2167 | 2016-04-20 |
| 1891179040 | Forefront Dermatology, S.c. | Dermatology | 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 | 2015-07-17 |
| 1003290156 | Forefront Dermatology, S.c. | Dermatology | 1223 Maple St, Farmington, MO 63640 | 2015-07-17 |
| 1649542150 | Erickson Skin Surgery & Dermatology, LLC | Dermatology | 555 N New Ballas Rd, Suite 260, Saint Louis, MO 63141-6825 | 2012-01-30 |
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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.