DR. CYNTHIA CALBERT WALLACE


Address: 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041
Phone: 8163335005

DR. CYNTHIA CALBERT WALLACE (NPI# 1740241835) 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) 1740241835
Entity Type Individual
Full Name DR. CYNTHIA CALBERT WALLACE
Credential M.D.
Practice Address 2000 Se Blue Pkwy
Lees Summit
MO 64063-1041
Mailing Address 2000 Se Blue Pkwy Ste 270b
Lees Summit
MO 64063-1029
Practice Telephone 8163335005
Practice Fax Number 8163336351
Mailing Telephone 8163335005
Mailing Fax Number 8163336351
Enumeration Date 2006-03-29
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology R1G97 MO Allopathic & Osteopathic Physicians
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
R1G97 MO Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4320 Wornall Rd, Suite 720, Kansas City, MO 641115941 8165312111 8165316025

Other Providers CYNTHIA WALLACE

NPI Name Taxonomy Address Enumeration
1427677848 Cynthia Wallace Home Health Aide 4513 Minaret Way, North Las Vegas, NV 89031-4319 2020-04-15
1215290051 Cynthia Wallace Home Health Aide 3538 Stanton Rd Se, Washington, DC 20020-2288 2012-06-18
1093075913 Cynthia Wallace Social Worker 19 E Birch St Ste 103, Walla Walla, WA 99362-3084 2012-05-24
1841509569 Cynthia Jane Wallace Registered Nurse 310 Eastwood Ave, Delaware, OH 43015-1004 2010-09-29
1386615540 Cynthia L Wallace Family Medicine 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076-1356 2006-01-27
1528573524 Cynthia Wallace Counselor 914 Baumann Dr, Grand Island, NE 68803-4401 2017-12-12
1619487410 Cynthia Marie Wallace Counselor 5648 Friendship Ave, Pittsburgh, PA 15206-3610 2017-10-05
1942608088 Cynthia Wallace Social Worker 832 Mckinley Ave Nw, Canton, OH 44703-2463 2014-12-05
1811393648 Cynthia Wallace Nurse Practitioner 1111 Crater Lake Ave, Medford, OR 97504-6241 2014-11-05
1730596875 Cynthia Catherine Wallace Dermatology 5530 Wisconsin Ave, 820, Chevy Chase, MD 20815-4404 2014-07-21

Office Location

Street Address 2000 SE BLUE PKWY
City LEES SUMMIT
State MO
Zip Code 64063-1041

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629610126 Teresa Jacqulyn Smith Nurse Practitioner 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 2019-10-16
1720508021 Jillian Tyler Family Medicine 2000 Se Blue Pkwy, Lees Summit, MO 64063-1041 2017-06-27
1083003552 Jerilyn Mcdermed Nurse Practitioner 2000 Se Blue Pkwy, Ste 270a, Lees Summit, MO 64063-1041 2015-01-21
1831462167 Valerie Lynn Jones Nurse Practitioner 2000 Se Blue Pkwy, Suite 270-b, Lees Summit, MO 64063-1041 2012-02-16
1518230812 Leann Claudia Fryer Nurse Practitioner 2000 Se Blue Pkwy, Ste 270-b, Lees Summit, MO 64063-1041 2012-02-16
1447522586 Joseph Michael Whetstone Specialist/Technologist 2000 Se Blue Pkwy, Suite 230, Lees Summit, MO 64063-1041 2012-02-06
1023329216 Matthew C. Daggett Orthopaedic Surgery 2000 Se Blue Pkwy, Suite # 230, Lees Summit, MO 64063-1041 2010-06-23
1245469998 Karen Jean Haas Psychiatry & Neurology 2000 Se Blue Pkwy, # 270-a, Lees Summit, MO 64063-1041 2009-07-02
1033373436 Megan L Sneed Obstetrics & Gynecology 2000 Se Blue Pkwy, Ste 220, Lees Summit, MO 64063-1041 2008-07-15
1467575241 John Calvin Ireland Internal Medicine 2000 Se Blue Pkwy, Suite 270 B, Lees Summit, MO 64063-1041 2007-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649895533 Ian Christopher Fekete Student in an Organized Health Care Education/Training Program Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 2020-06-16
1083268403 Rachelle Colyer Physical Therapist 298 Sw Blue Pkwy, Lee's Summit, MO 64063 2019-07-25
1326504200 Brenda Michelle Brown Physical Therapist 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 2019-02-15
1528545068 Bayada Home Health Care, Inc. Home Health 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 2018-07-27
1972089118 Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. Dentist 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 2018-07-11
1104327576 Molly Moore Mcgraw Davidson Nurse Practitioner 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 2018-02-21
1821507591 Joshua Greenwell Chiropractor 1634 Se Blue Pkwy, Lee's Summit, MO 64063 2017-09-26
1457870651 Tlc Home Healthcare Consulting Inc Registered Nurse 109 Sw Madison St, Lee's Summit, MO 64063 2017-09-19
1053834622 Kristin E Schwartz Advanced Practice Midwife 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 2017-07-25
1316493828 Laura Ballantyne Speech-Language Pathologist 600 Se Miller St, Lees Summit, MO 64063 2016-08-26
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255370920 Larry D Spradlin Obstetrics & Gynecology 20 Ne Saint Lukes Blvd, Suite 310, Lees Summit, MO 64086-6001 2006-06-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992257992 Luellen Malley Obstetrics & Gynecology 14105 Nw 74th St, Kansas City, MO 64152-5115 2016-10-26
1124404546 Jean-alfred Thomas Inc Obstetrics & Gynecology 1031 Bellevue Ave # B, Suite 200, Saint Louis, MO 63117-1818 2015-08-07
1528346335 Ataollah M. Yazdi Obstetrics & Gynecology 12370 Coppersmith Ct., St Louis, MO 63131 2011-07-27
1417289919 Richard Douglas Stiff Obstetrics & Gynecology 2335 State Highway 265, Suite 200, Branson, MO 65616-8903 2010-02-08
1235466715 Barton County Memorial Hospital Obstetrics & Gynecology 723 S. Main St., Lockwood, MO 65682 2009-11-04
1053589291 Robert M Huster M.d., P.C. Obstetrics & Gynecology 1500 A Hwy Ste C, Liberty, MO 64068-7161 2008-02-11
1831388842 Troy Womens Health Care LLC Obstetrics & Gynecology 25 Prospect Circle, Troy, MO 63379 2007-10-16
1205028586 Gentle Gynecology P.C. Obstetrics & Gynecology 1500 A Hwy, Suite C, Liberty, MO 64068-7129 2007-08-10
1851582076 Dr. Scott Beard Obstetrics & Gynecology 627 South Ash, Ste B, Nevada, MO 64772 2007-08-05
1043359029 Piemsak Lim Obstetrics & Gynecology 206 Hospital Ln Ste 201, Perryville, MO 63775-1382 2007-02-06
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Competitor

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City LEES SUMMIT
Zip Code 64063

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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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