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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
4320 Wornall Rd, Suite 720, Kansas City, MO 641115941 | 8165312111 | 8165316025 |
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 |
Street Address |
2000 SE BLUE PKWY |
City | LEES SUMMIT |
State | MO |
Zip Code | 64063-1041 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 64063 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | LEES SUMMIT |
Zip Code | 64063 |
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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.