PATRICIA C WANKUM


Address: 404 N Keene St, Columbia, MO 65201-6626
Phone: 5738826544

PATRICIA C WANKUM (NPI# 1710932678) 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) 1710932678
Entity Type Individual
Full Name PATRICIA C WANKUM
Credential MD
Practice Address 404 N Keene St
Columbia
MO 65201-6626
Mailing Address Po Box 843966
Kansas City
MO 64184-3966
Practice Telephone 5738826544
Practice Fax Number 5738842256
Mailing Telephone 5738843300
Mailing Fax Number 5738840943
Enumeration Date 2006-05-22
Last Update Date 2019-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
2003020149 MO Allopathic & Osteopathic Physicians

Other Providers PATRICIA WANKUM

NPI Name Taxonomy Address Enumeration
1578077673 Patricia Wankum Specialist/Technologist 12800 N Lake Shore Dr, Mequon, WI 53097-2418 2017-11-28

Office Location

Street Address 404 N KEENE ST
City COLUMBIA
State MO
Zip Code 65201-6626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861486151 Curators of The University of Missouri General Acute Care Hospital 404 N Keene St, Columbia, MO 65201 2005-09-01
1609474493 Cameron Bishop Taylor Pharmacist 404 N Keene St, Columbia, MO 65201-6626 2020-10-13
1265039218 Pulcherie Guissou Ada Internal Medicine 404 N Keene St, Columbia, MO 65201-6626 2020-10-02
1477161529 Rachel R Couch Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-15
1801414552 Shruti Sinha Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-09
1699393355 Kathryn A Guymon Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-09
1578181228 Nicole L Meyer Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-09
1942827399 Varun Manohara Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-01
1205453651 Elly A Ranum Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-07-01
1710500392 Shreeya Chugh Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2020-05-18
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Providers in the same zip code

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 Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740361930 Michael Dennis Dallman Pediatrics 9 Richland Medical Park Dr Ste 530, Columbia, SC 29203-6870 2006-10-17
1093795353 Robert D Hubbird Pediatrics 3 Medical Park Rd, 110, Columbia, SC 29203-6873 2006-01-20
1477809523 Salim A S Aljabari Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2012-07-26
1194743856 Palmetto Health Pediatrics 9 Medical Park, Suite 530, Columbia, SC 29203-6859 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558329896 Patricia Webster Pediatrics 8124 Nw Lakeview Dr, Parkville, MO 64152-4373 2006-05-03
1174183289 Katelyn Moring Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2019-06-20
1730610155 Jose Emilio Morales Moreno Pediatrics 1465 S Grand Blvd Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104-1003 2017-03-27
1114472115 Ahmad Tariq Hamed Pediatrics 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 2016-08-18
1396144259 Danyal Thaver Pediatrics 1235 E Cherokee St, Springfield, MO 65804-2203 2014-08-17
1548601586 Karl M. Huebner Pediatrics 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 2013-07-06
1174966055 Stephen Pfeiffer Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-04-10
1982959433 Anya Jennifer Freedman Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2012-07-20
1992070189 Sarah Devlin Brunner Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2012-03-20
1134417389 Reinis Balmaks Pediatrics 1 Childrens Pl, Cb 8116 Nwt 8, Saint Louis, MO 63110-1002 2011-07-20
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Competitor

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City COLUMBIA
Zip Code 65201

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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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