MICHAEL C TRENDLE (NPI# 1104813732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104813732 |
| Entity Type | Individual |
| Full Name | MICHAEL C TRENDLE |
| Credential | MD |
| Practice Address |
1 Hospital Drive Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738828445 |
| Practice Fax Number | 5738847822 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
112173 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHP | 28104 | 01 | |
| HEALTHLINK | 333188 | 01 | |
| AETNA | 5132415 | 01 | |
| MERCY HEALTH PLANS | F44709 | 01 | |
| BCBS OF MO | 110281 | 01 | |
| MO | 208702308 | 05 | |
| UNITED HEALTH CARE | 3600181 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 Burkarth Rd Ste 103, Warrensburg, MO 640933101 | 6602627321 | 6607472860 |
| Street Address |
1 HOSPITAL DRIVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296038 | Harleen Kaur | Psychiatry & Neurology | 1 Hospital Drive, Columbia, MO 65202 | 2019-07-02 |
| 1750949541 | Zane Z He | Psychiatry & Neurology | 1 Hospital Drive, Columbia, MO 65233-6523 | 2019-06-05 |
| 1285199729 | Dana Heggemann | Physician Assistant | 1 Hospital Drive, Columbia, MO 65212-0001 | 2019-02-08 |
| 1376036582 | Ross Stratton Smith | Psychiatry & Neurology | 1 Hospital Drive, Ce515, Cs&e Building, Columbia, MO 65212 | 2018-06-12 |
| 1083106405 | Shajauna L Vaughn | Pharmacist | 1 Hospital Drive, Columbia, MO 65251 | 2018-06-01 |
| 1700328267 | Carolyn Fenwick Kundert | Physician Assistant | 1 Hospital Drive, Columbia, MO 65212 | 2016-11-14 |
| 1861885634 | Dana Lalk | Nurse Practitioner | 1 Hospital Drive, Columbia, MO 65212-0001 | 2015-03-18 |
| 1891100368 | Siva Prasad Reddy Pesala | Psychiatry & Neurology | 1 Hospital Drive, Columbia, MO 65202 | 2014-06-24 |
| 1639584105 | Jagkirat Singh | Psychiatry & Neurology | 1 Hospital Drive, Columbia, MO 65202 | 2014-06-24 |
| 1477968188 | Anant Wadhwa | Psychiatry & Neurology | 1 Hospital Drive, Columbia, MO 65202 | 2014-06-23 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912988536 | Mary Audrey Ackerman | Internal Medicine | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2005-11-10 |
| 1356322812 | Robert E Smith Jr. | Internal Medicine | 166 Stoneridge Drive, Columbia, SC 29210 | 2005-11-10 |
| 1568886273 | Columbia Comprehensive Cancer Care Clinic | Internal Medicine | 500 N Keene St, Suite 202, Columbia, MO 65201-8104 | 2014-02-17 |
| 1952657462 | Jaffar Hilli | Internal Medicine | One Hospital Drive, Columbia, MO 65212-0001 | 2012-08-02 |
| 1851654818 | Andrew Mcmorris Iliff | Internal Medicine | 1705 E Broadway Ste 100, Columbia, MO 65201 | 2012-06-24 |
| 1902196165 | Varun Choudary Dhulipala | Internal Medicine | 1224 Trotwood Ave, Columbia, TN 38401-4802 | 2011-04-08 |
| 1891084513 | Andrew Scott Mener | Internal Medicine | 10710 Charter Dr, Columbia, MD 21044-3128 | 2011-04-04 |
| 1730495250 | Liana Makarian | Internal Medicine | 1705 E Broadway, Columbia, MO 65201-7166 | 2010-08-21 |
| 1821271032 | Maryland Oncology Hematology, P.a. | Internal Medicine | 10710 Charter Dr, Suite G020, Columbia, MD 21044-3128 | 2007-12-11 |
| 1922205681 | Amruth Palla | Internal Medicine | 1 Hospital Dr, Columbia, MO 65212-0001 | 2007-06-27 |
| 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.