Kirk M Wanless, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2004028847 Issued in MO

Practice address

1501 Union Ave
Suite B
Moberly, MO 65270-9469

Phone

(660) 263-4600

Fax

(660) 263-4640

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Missouri, Columbia School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moberly Regional Medical Center Hospital, Moberly, MO, CCN 260074
• Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wanless Ear, Nose & Throat LLC

  • Otolaryngology Physician
  • Moberly, MO
  • NPI 1083689889

  MO

  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CH Allied Services, Inc

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844

  Hospital

  Care Compare affiliation
• Moberly Hospital Company LLC

  • General Acute Care Hospital
  • Moberly, MO
  • NPI 1770554305

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1497749485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE",
            "address_2": "SUITE B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-4600",
            "fax_number": "660-263-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 UNION AVE",
            "address_2": "SUITE B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709469",
            "telephone_number": "660-263-4600",
            "fax_number": "660-263-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANLESS",
        "first_name": "KIRK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2004028847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• William George Wall II, CRNA
• Wanless Ear, Nose & Throat LLC
• Rebekah Sue Weidenaar, PLPC
• Diana Wemhoff, APRN, BC
• Misty Joyce Werkmeister, PLPC
• Taylor M Wesley, PHYSICIAN ASSISTANT
• Haley Wiggans, FNP-BC

• All providers in Moberly, MO
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.