DARRYL WALLACE MD
NPI 1477592210
Obstetrics & Gynecology - Gynecologic Oncology in Kansas City, MO

Active since June 06, 2006
4321 WASHINGTON ST, SUITE 4000, KANSAS CITY, MO 64111(816) 932-4549 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darryl Wallace Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARRYL WALLACE MD (NPI 1477592210) is an individual gynecologic oncology provider in Kansas City, Missouri, licensed in Missouri (R5048) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477592210
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDARRYL WALLACECredential: MD
Location Address4321 WASHINGTON ST, SUITE 4000Kansas City, MO 64111-5961
Mailing AddressPo Box 504407Saint Louis, MO 63150-4407 · (816) 932-7947 · Fax (816) 932-7957
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateOctober 11, 2012
NPI 1477592210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses Licensed in MO · R5048 Licensed in KS · 415529
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
4321 WASHINGTON ST, Kansas City, MO 64111

Other Identifiers 10

Medicare PINW19A00063KS
Other910000367Railroad Medicare
Medicare UPINC50226MO
Medicare PINL762632
Other33690Healthcare Usa
Other09381035Bcbs Of Kc
Other4602518Aetna
Other7400202Uhc
Medicaid201094802MO
Medicare PINW19000166MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
4321 WASHINGTON ST, SUITE 100
KANSAS CITY, MO 64111
Internal Medicine (Hematology & Oncology)
4321 WASHINGTON ST, SUITE 4000
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4321 WASHINGTON ST, STE 1400
KANSAS CITY, MO 64111
Internal Medicine (Geriatric Medicine)
4321 WASHINGTON ST
KANSAS CITY, MO 64111
Clinic/Center (Ambulatory Surgical)
4321 WASHINGTON ST, SUITE 5700
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4321 WASHINGTON ST, STE 1000
KANSAS CITY, MO 64111
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4321 WASHINGTON ST, SUITE 6100
KANSAS CITY, MO 64111
Registered Nurse (Diabetes Educator)
4321 WASHINGTON ST, SUITE 6100
KANSAS CITY, MO 64111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darryl Wallace's NPI number?

The NPI number for Darryl Wallace is 1477592210. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Darryl Wallace located?

Darryl Wallace practices at 4321 Washington St Suite 4000, Kansas City, MO 64111. The listed phone number is (816) 932-4549.

What is Darryl Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Darryl Wallace was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.