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WALTER C DANDRIDGE M.D. NPI 1316985815


NPI Information

NPI: 1316985815
Provider Name: WALTER C DANDRIDGE, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
100 MERCY WAY
STE 440
JOPLIN, MO
ZIP 64804
Phone: (417) 781-4404
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Walter C Dandridge, M.D. is a surgery in Joplin, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Walter C Dandridge, M.D. NPI is 1316985815. 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:

100 MERCY WAY
STE 440
JOPLIN, MO
ZIP 64804-524
Phone: (417) 781-4404
Fax: (417) 781-5845

The enumeration date for this NPI number is 6/4/2006 and was last updated on 3/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryR6557MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MA2082114MEDICARE PINMISSOURI
2A11152MEDICARE UPIN
3100167010EMEDICAIDKANSAS
4P00800462OTHERMISSOURIRAIL ROAD MEDICARE
5100099510AMEDICAIDOKLAHOMA
61316985815MEDICAIDMISSOURI

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

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