MR. WADE BITTLE (NPI# 1154508976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154508976 |
| Entity Type | Individual |
| Full Name | MR. WADE BITTLE |
| Credential | P.A.-C |
| Practice Address |
1102 W Macarthur St Shawnee OK 74804-1743 |
| Practice Telephone | 4052732270 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2009-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 1681 | OK | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 1681 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA1681 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200135230A | 05 |
| Street Address |
1102 W MACARTHUR ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925781 | Gaynell Marie Schieber Anderson | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2005-07-08 |
| 1720562291 | Eric Olson | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-09-20 |
| 1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
| 1568975225 | Mikayla Jean Sims | Physician Assistant | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2017-11-15 |
| 1245673573 | Allison Nichole Childers | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2013-04-17 |
| 1710239009 | Community Health Partners,inc | General Acute Care Hospital | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-10-10 |
| 1881945277 | Unity Physician Group | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-09-25 |
| 1619260411 | St Anthony Shawnee Hospital, Inc | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-05-26 |
| 1861791022 | Michael Jerome Brzozowski | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-03-26 |
| 1912201013 | Charli Yvonne Hull | Registered Nurse | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897621 | Kelsey Rae Nehrig | Physician Assistant | 7420 Switzer Road, Shawnee, KS 66203 | 2018-07-06 |
| 1689850836 | Adam D. Hogue | Physician Assistant | 1501 N Airport Dr, Shawnee, OK 74804-4321 | 2008-01-18 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1841397270 | Stephanie E Painter | Physician Assistant | 15440 W 65th St, Shawnee, KS 66217-9306 | 2006-09-20 |
| 1639192446 | Jaime Ann Johnson | Physician Assistant | 2506 N Harrison St, Shawnee, OK 74804 | 2006-07-25 |
| 1043257165 | Cary Douglas Nation | Physician Assistant | 1501 Airport Dr, Shawnee, OK 74804-4321 | 2006-05-31 |
| 1891761102 | Robert B Swatek | Physician Assistant | 5949 Nieman Rd, Shawnee, KS 66203-2930 | 2006-02-27 |
| 1588209423 | Murphi E Sparkman | Physician Assistant | 781 Grand Casino Blvd, Shawnee, OK 74804-1005 | 2019-11-14 |
| 1124513809 | Jared Conatser | Physician Assistant | 12 E Macarthur St, Shawnee, OK 74804-2135 | 2018-06-26 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.