DR. SCOTT ALAN WADE (NPI# 1639103583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103583 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALAN WADE |
| Credential | M.D. |
| Practice Address |
802 N Riverside Rd Ste G50 Saint Joseph MO 64507-2510 |
| Practice Telephone | 8166714888 |
| Practice Fax Number | 8166714890 |
| Mailing Telephone | 8166714888 |
| Mailing Fax Number | 8166714890 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2017-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 100462 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
100462 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
100462 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100132200B | 05 | |
| MO | COMMUNITY HEALTH PLAN | 10001185602 | 01 |
| MO | 203325600 | 05 | |
| MO | RR MEDICARE | P00203415 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 802 N. Riverside Rd., Ste. G 50, Saint Joseph, MO 645072553 | 8166714888 | 8166714890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695149 | Scott William Wade | Licensed Practical Nurse | 29 Circuit Rd, Bellport, NY 11713-2903 | 2019-02-15 |
| 1780104711 | Scott Wade | Physical Therapist | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 | 2017-06-21 |
| 1922018175 | Scott B Wade | Chiropractor | 6790 Thrush Dr, Canal Winchester, OH 43110-8385 | 2006-08-09 |
| Street Address |
802 N RIVERSIDE RD STE G50 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215452289 | Miranda Marie Floyd | Nurse Practitioner | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2017-08-10 |
| 1073879011 | Khang Duc Le | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2012-04-04 |
| 1245544576 | Omar Melhem Ghanem | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2010-07-28 |
| 1881612414 | Chau Ngoc Nguyen | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558651547 | Gillian Leray Jones | Surgery | 901 Heartland Rd Ste 1810, Saint Joseph, MO 64506-6201 | 2011-04-12 |
| 1790949097 | Marcus Kyle Free | Surgery | 2143 Derfla Dr, Saint Joseph, MI 49085-9661 | 2008-07-16 |
| 1639102460 | Edward H Andres IIi | Surgery | 802 N. Riverside Rd., Suite G 50, Saint Joseph, MO 64507-2553 | 2006-07-07 |
| 1629007208 | George Dale Mulder | Surgery | 802 N Riverside Rd., Ste G50, Saint Joseph, MO 64507-2553 | 2006-07-03 |
| 1700854023 | Kenneth W Shewell | Surgery | 4229 Frederick Ave Ste A, Saint Joseph, MO 64506-3159 | 2006-03-11 |
| 1992797963 | Phillip M Hornbostel | Surgery | 802 N Riverside Rd Ste 220, Saint Joseph, MO 64507-2509 | 2005-08-16 |
| 1073879011 | Khang Duc Le | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2012-04-04 |
| 1245544576 | Omar Melhem Ghanem | Surgery | 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 | 2010-07-28 |
| 1578884441 | Michael L Webb | Surgery | 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 | 2010-06-15 |
| 1952539660 | Mychi Han Le | Surgery | 5204 N Belt Hwy, Saint Joseph, MO 64506-1211 | 2009-07-01 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on DR. SCOTT ALAN WADE.
| 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.