STACY WADE


Address: 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143
Phone: 3178845200

STACY WADE (NPI# 1770742462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770742462
Entity Type Individual
Full Name STACY WADE
Other Name MS. STACY LEMASTERS
Credential NP
Practice Address 1260 Innovation Pkwy Ste 100
Greenwood
IN 46143
Mailing Address 1260 Innovation Pkwy Ste 100
Greenwood
IN 46143-3602
Practice Telephone 3178845200
Practice Fax Number 3178845360
Mailing Telephone 3178845200
Mailing Fax Number 3178845360
Enumeration Date 2008-06-06
Last Update Date 2018-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 28150715A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
71002094A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN MEDICARE RR PTAN P01307686 01
IN 200903990 05

Other Providers STACY WADE

NPI Name Taxonomy Address Enumeration
1316469091 Stacy Wade Occupational Therapist 1000 Elmwood Ave Ste 100, Rochester, NY 14620-3042 2017-07-13
1619227170 Stacy Lynne Wade Pharmacist 522 Owen Dr, Fayetteville, NC 28304-3432 2012-09-12
1013144146 Stacy C. Wade Anesthesiology 619 19th St S, Jt 845, Birmingham, AL 35249-6810 2009-06-16

Office Location

Street Address 1260 INNOVATION PKWY STE 100
City GREENWOOD
State IN
Zip Code 46143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649758830 Kathleen O'gara Johnson Physical Therapist 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143-3602 2018-07-31
1346613825 Robin Hemrick Physician Assistant 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143-3602 2015-11-05
1952739260 Brendan Patrick Sweeney Physician Assistant 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143-3602 2013-10-23
1508123027 Matthew Ryan Walker Orthopaedic Surgery 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143 2012-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891395299 Tiffany Smirat Pharmacist 882 S Sr 135, Greenwood, IN 46143 2020-10-27
1083250138 Benajmin Thomas Nyboer Pharmacist 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 2019-11-25
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1194282525 Homebased Mental Health Service Case Management 2244 Blossom Dr, Greenwood, IN 46143 2019-02-21
1710478078 Anne E Packard Pharmacist 333 E County Line Rd # 101, Greenwood, IN 46143 2018-05-22
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1891246633 Kroger Limited Partnership I Durable Medical Equipment & Medical Supplies 5961 N Sr 135, Greenwood, IN 46143 2016-10-17
1477919637 Ourhealth Physicians Group, LLC Clinic/Center 1273 N Emerson Ave Ste H, Greenwood, IN 46143 2016-01-04
1003212655 American Health Network of Indiana, LLC Non-Pharmacy Dispensing Site 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 2014-11-10
1265831366 Katie D'agosto Counselor 3000 S State Road 135 Ste 230, Greenwood, IN 46143 2014-08-14
Find all providers in zip 46143

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093322505 Amy Decker Nurse Practitioner 452 Macy Way, Greenwood, IN 46142-7483 2020-09-29
1417574252 Amanda Rees Nurse Practitioner 432 S Emerson Ave Ste 320, Greenwood, IN 46143-1952 2020-06-27
1093330979 Renee Francine Jones Nurse Practitioner 698 Oldfield Commons Dr, Greenwood, IN 46142 2020-06-16
1487287579 Angela Williams Nurse Practitioner 224 Georgia Ave, Greenwood, SC 29646-4642 2020-02-17
1740831015 Cynthia Louise Lambert Nurse Practitioner 21580 Stacey Ln, Greenwood, NE 68366-1776 2019-09-26
1124682315 Jill Bell Shirley Nurse Practitioner 105 Vinecrest Ct Ste 1000, Greenwood, SC 29646-8031 2019-04-24
1609332840 Donna Luckett Nurse Practitioner 210 Amanda Dr Apt 15b, Greenwood, MS 38930-3820 2019-02-12
1902385123 Cassandra Leigh Cole Nurse Practitioner 701 E County Line Rd Ste 204, Greenwood, IN 46143-1071 2018-08-08
1033607924 Ez Clinic Inc. Nurse Practitioner 494 S Emerson Ave Ste I, Greenwood, IN 46143 2018-04-25
1346747995 Kelli Diane Clune Nurse Practitioner 115 E Alexander Ave, Greenwood, SC 29646 2018-04-10
Find all providers in GREENWOOD

Competitor

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City GREENWOOD
Zip Code 46143

Improve Information

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Dataset Information

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.

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