DR. PETER CUMMINS DYKE II (NPI# 1346371143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346371143 |
| Entity Type | Individual |
| Full Name | DR. PETER CUMMINS DYKE II |
| Credential | M.D. |
| Practice Address |
500 N Keene St Suite 207 Columbia MO 65201-8104 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5732193960 |
| Practice Fax Number | 5732193964 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
2010021890 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
50124-020 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
500 N KEENE ST SUITE 207 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
| 1396296331 | Mary Bunch | Nurse Practitioner | 500 N Keene St, Columbia, MO 65201 | 2016-10-14 |
| 1831586247 | Dr Ali Khojasteh Medexcellence LLC | Specialist | 500 N Keene St, Suite 202, Columbia, MO 65201-8104 | 2015-04-23 |
| 1568886273 | Columbia Comprehensive Cancer Care Clinic | Internal Medicine | 500 N Keene St, Suite 202, Columbia, MO 65201-8104 | 2014-02-17 |
| 1922448430 | Angel Jaime Enciso | Obstetrics & Gynecology | 500 N Keene St, Suite 400, Columbia, MO 65201-8104 | 2013-06-28 |
| 1710243324 | Denicia Shane Dwarica | Obstetrics & Gynecology | 500 N Keene St, Columbia, MO 65201-8105 | 2012-04-09 |
| 1952672388 | Melissa Ann Liepins Masek | Optometrist | 500 N Keene St, Suite 103, Columbia, MO 65201-8104 | 2012-01-17 |
| 1447547989 | Amy A Zguta Md LLC | Ophthalmology | 500 N Keene St, Suite 101, Columbia, MO 65201-8104 | 2011-07-05 |
| 1932354750 | Julie Ann Starr | Nurse Practitioner | 500 N Keene St, Columbia, MO 65201-8104 | 2008-11-20 |
| 1376700823 | Amy Ajans Zguta | Ophthalmology | 500 N Keene St, Ste 101, Columbia, MO 65201-8104 | 2008-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458943 | Allan James Shapiro | Pediatrics | 500 N Keene St, Ste 207, Columbia, MO 65201-8105 | 2005-06-21 |
| 1205325883 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2018-05-09 |
| 1164719894 | Margaret Alexander Gray | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2011-07-01 |
| 1275563629 | Luther Chase Williams IIi | Pediatrics | 9 Richland Medical Park Dr, Suite 110, Columbia, SC 29203-6859 | 2006-07-03 |
| 1104855089 | Matthew M Wienecke | Pediatrics | 9 Richland Medical Park Dr, Suite 200a, Columbia, SC 29203-6859 | 2006-07-02 |
| 1700815271 | Claudius Osborne Shuler IIi | Pediatrics | 9 Richland Medical Park Dr, Suite 110, Columbia, SC 29203-6859 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023388 | Kansas City Pediatric Cardiology Associates | Pediatrics | 4150 N Mulberry Dr Ste 150, Kansas City, MO 64116-1764 | 2019-09-24 |
| 1205255379 | Manoj Parimi | Pediatrics | 621 S New Ballas Rd Ste 198a, Saint Louis, MO 63141-8255 | 2014-04-15 |
| 1144399338 | Mercy Clinic Children's Heart Center, LLC | Pediatrics | 621 S New Ballas Road, Suite 198-a, St Louis, MO 63141-8255 | 2006-11-06 |
| 1255389920 | William Baker Drake IIi | Pediatrics | 4150 N Mulberry Dr, Suite 150, Kansas City, MO 64116-1779 | 2006-05-05 |
| 1063460079 | Catherine Ong Simon | Pediatrics | 2401 Gillham, Children's Mercy Hospital, Kansas City, MO 64108 | 2006-05-04 |
| 1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
| 1356792881 | Maria G Kiaffas | Pediatrics | 2401 Gillham Rd., Dept. of Cardiology, Kansas City, MO 64108-4619 | 2016-06-27 |
| 1841623626 | John Papagiannis | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-08-15 |
| 1730522723 | Matthew Louis Moehlmann | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
| 1760747026 | Gloria Chansong Lehmann | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2012-07-11 |
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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.