WAYNE WALLENDER D.O. NPI 1710927132

NPI Information

NPI: 1710927132
Provider Name: WAYNE WALLENDER, D.O.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3095
Get Directions

Wayne Wallender, D.O. is an interventional pain medicine pain medicine in Springfield, MO. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Wayne Wallender, D.O. NPI is 1710927132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 E PRIMROSE ST
SPRINGFIELD, MO
ZIP 65807-155
Phone: (417) 875-3095
Fax: (417) 875-3570

The enumeration date for this NPI number is 6/7/2006 and was last updated on 12/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	R1P10	MISSOURI	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	R1P10	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	243003100	MEDICAID	MISSOURI
2	1710927132	MEDICAID	MISSOURI
3	P01382375	OTHER	MISSOURI	RR PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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