KATRINA WADE (NPI# 1558404608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558404608 |
| Entity Type | Individual |
| Full Name | KATRINA WADE |
| Credential | PA-C |
| Practice Address |
30 Medical Park Tower 3 Suite 232 Wheeling WV 26003-6391 |
| Practice Telephone | 3042438300 |
| Practice Fax Number | 3042438306 |
| Mailing Telephone | 3042438300 |
| Mailing Fax Number | 3042438306 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01262 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
01262 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992965834 | Katrina Slaughter Wade | Obstetrics & Gynecology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-06-13 |
| 1750478491 | Katrina R Wade | Emergency Medicine | 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 | 2006-10-06 |
| Street Address |
30 MEDICAL PARK TOWER 3 SUITE 232 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487995 | Catherine Carey Coleman | Obstetrics & Gynecology | 30 Medical Park, Ste 230, Wheeling, WV 26003-6391 | 2005-06-15 |
| 1649647975 | Hilary Linn Miller | Registered Nurse | 30 Medical Park, Tower 3 Suite 223, Wheeling, WV 26003 | 2015-08-21 |
| 1144609561 | Claire E Paxton | Pediatrics | 30 Medical Park, Suite 200, Wheeling, WV 26003 | 2015-05-19 |
| 1710380555 | Kristi Bolen | Nurse Practitioner | 30 Medical Park, Suite 200, Wheeling, WV 26003-6391 | 2014-10-08 |
| 1336550748 | Loren R Kaiser | Pediatrics | 30 Medical Park, Suite 221, Wheeling, WV 26003 | 2014-05-20 |
| 1679919278 | Sara M Miller | Obstetrics & Gynecology | 30 Medical Park, Suite 230, Wheeling, WV 26003 | 2013-05-22 |
| 1174876387 | Katie M Smith | Physician Assistant | 30 Medical Park, Suite 211, Wheeling, WV 26003-6391 | 2012-10-25 |
| 1457612608 | Raymond A. Hinerman Md Pllc | Otolaryngology | 30 Medical Park, Ste 223, Wheeling, WV 26003-6391 | 2012-06-05 |
| 1235443318 | Maria Kimmel Marquette | Physician Assistant | 30 Medical Park, Suite 200, Wheeling, WV 26003-6391 | 2010-08-02 |
| 1073846507 | Natallie Lynn Mccardle | Nurse Practitioner | 30 Medical Park, Suite 211, Wheeling, WV 26003 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1346435070 | Julia K Fisher | Physician Assistant | 2129 National Road, Wheeling, WV 26003 | 2007-09-06 |
| 1770577389 | Christopher John Foti | Physician Assistant | 76 16th St Ste 100a, Wheeling, WV 26003-3660 | 2005-09-09 |
| 1568013852 | Derek M Miller | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2019-09-27 |
| 1679059240 | Caitlyn Justine Williams | Physician Assistant | 58 16th Street, Wheeling, WV 26003 | 2018-07-17 |
| 1174876387 | Katie M Smith | Physician Assistant | 30 Medical Park, Suite 211, Wheeling, WV 26003-6391 | 2012-10-25 |
| 1528332707 | Ryan Rico | Physician Assistant | 24 Homestead Ave, Wheeling, WV 26003-6638 | 2012-03-06 |
| 1356640692 | Brandi D. Howell | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2011-03-25 |
| Find all providers in WHEELING | ||||
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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.