Cynthia Calbert Wallace, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

R1G97 Issued in MO

Practice address

4320 Wornall Rd
Suite 720
Kansas City, MO 64111-5941

Phone

(816) 531-2111

Fax

(816) 531-6025

NPI assigned

Mar 29, 2006

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: cynthia.calbert@hca2.eclinicaldirectplus.com
• Direct secure messaging: cynthia.wallace@hca2.eclinicaldirectplus.com

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

• A Woman's Place at the Clinic for Women, Inc

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
  • NPI 1932135159
  NPD (past)
• St. Luke's Hospital

  dba St. Luke's Community Service Clinics

  • Surgery Physician
  • Kansas City, MO
  • NPI 1124071725
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1740241835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PKWY STE 270B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631029",
            "telephone_number": "816-333-5005",
            "fax_number": "816-333-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 720",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-531-2111",
            "fax_number": "816-531-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 SE Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631041",
            "country_code": "US",
            "telephone_number": "816-333-5005",
            "fax_number": "816-333-6351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CYNTHIA",
        "middle_name": "CALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R1G97",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "R1G97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mymidwestphysician.com/locations/womens-center-at-lees-summit/",
            "affiliation": "N",
            "address_1": "2000 SE Blue Pkwy",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640631041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CYNTHIA.WALLACE@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2000 SE Blue Pkwy",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640631041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dustin A. Wall, LPC
• James Wall
• Jeffrey W Wall, M.D
• Terry J Wall, MD
• Allie Wallace, DO
• Darryl Wallace, MD
• Dustin P Wallace, PHD
• Julie Wallace
• Laura Wallace
• Sabrina Wallace

• Gynecology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.