JUSTIN G WADE (NPI# 1467539676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467539676 |
| Entity Type | Individual |
| Full Name | JUSTIN G WADE |
| Credential | MD |
| Practice Address |
29520 Canvasback Dr Easton MD 21601-7124 |
| Mailing Address |
8614 Ocean Gtwy Ste 4 Easton MD 21601-7217 |
| Practice Telephone | 4108225007 |
| Practice Fax Number | 4108225569 |
| Mailing Telephone | 4106908181 |
| Mailing Fax Number | 4106908185 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0066569 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | UBH | 517251 | 01 |
| MD | MHN | 346646 | 01 |
| MD | COMMERCIAL INSURANCE | 522156095 | 01 |
| MD | MAGELLAN | 259147-000 | 01 |
| MD | 609550002 | 05 | |
| MD | CAREFIRST BCBS | LM49EA | 01 |
| MD | 609550001 | 05 | |
| MD | 609550004 | 05 | |
| MD | CAREFIRST BCBS-FEDERAL | R968 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770744211 | Justin G. Wade | Podiatrist | 1601 N Belt Line Rd, Suite A, Mesquite, TX 75149-1790 | 2008-06-18 |
| Street Address |
29520 CANVASBACK DR |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239948 | George Wright Rever | Psychiatry & Neurology | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2006-03-23 |
| 1801425129 | Stephanie Boley | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2020-04-07 |
| 1053951004 | Aisha Hassan-davis | Nurse Practitioner | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2020-01-07 |
| 1366922080 | Misty Ann Miller | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2018-08-21 |
| 1740708197 | Joseph B Cox | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2017-09-06 |
| 1356867907 | Peter Jude Buesgens | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2017-08-16 |
| 1619424686 | Sierra Alexa Monturoi | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-09-07 |
| 1144774068 | Susan Halliwell Knade | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-08-09 |
| 1457704595 | Randi Marie Melton | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-07-13 |
| 1326499690 | Jeremy Michael Mckinney | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1407952302 | Meera Wells | Psychiatry & Neurology | 210 Marlboro Ave # 394, Easton, MD 21601-2765 | 2006-09-16 |
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| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
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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.