DR. BILLI S WALLACE (NPI# 1407812407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407812407 |
| Entity Type | Individual |
| Full Name | DR. BILLI S WALLACE |
| Credential | MD |
| Practice Address |
800 Hospital Dr Columbia MO 65201 |
| Mailing Address |
800 Hospital Dr Columbia MO 65201-5275 |
| Practice Telephone | 5738146000 |
| Mailing Telephone | 5738146000 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 22899 | OK | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 0431738 | KS | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 2006009608 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
800 HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325496 | Jessica J Teter | Internal Medicine | 800 Hospital Dr, Columbia, MO 65201-5275 | 2005-06-01 |
| 1841890498 | Jungjik Park | Pharmacist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-10-31 |
| 1023616794 | Jesse L Herman Jr. | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-10-14 |
| 1871109439 | Jennifer Chase Stem | Occupational Therapist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-09-18 |
| 1457962086 | Katie Lynn Karl Mcdannald | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-08-17 |
| 1073123675 | Noel Marie Elrod | Psychologist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-08-07 |
| 1780205583 | Jennifer Kay Luebbering | Pharmacist | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-05-03 |
| 1720608995 | Bracy Ann Sickal | Registered Nurse | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-04-17 |
| 1205455227 | Abigail Stotler | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-04-09 |
| 1316570831 | Harrison Smith | Physician Assistant | 800 Hospital Dr, Columbia, MO 65201-5275 | 2020-02-13 |
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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 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1003437641 | Goel Vision Columbia | Ophthalmology | 8850 Columbia 100 Pkwy Ste 101, Columbia, MD 21045-2375 | 2020-05-06 |
| 1568083103 | Columbia Parkway Surgery Center LLC | Ophthalmology | 8850 Columbia 100 Pkwy Ste 102, Columbia, MD 21045-2375 | 2020-05-06 |
| 1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
| 1801236302 | Jason T Rodier | Ophthalmology | 3215 Wingate Court, Suite 102, Columbia, MO 65201-7214 | 2013-06-28 |
| 1093057630 | Maggie A Cardonell | Ophthalmology | 3215 Wingate Court, Ste 102, Columbia, MO 65201-7214 | 2013-03-21 |
| 1013257575 | Mohannad Al-samarraie | Ophthalmology | 3215 Wingate Ct, Suite 102, Columbia, MO 65201-7214 | 2013-02-21 |
| 1558608786 | Thompson & Sjaarda, P.a. | Ophthalmology | 9700 Patuxent Woods Dr Ste 110, Columbia, MD 21046-2938 | 2013-01-08 |
| 1912299884 | Timothy D Mcgarity Md PC | Ophthalmology | 1410 Forum Katy Pkwy., Suite 100, Columbia, MO 65203-2191 | 2011-05-10 |
| 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.