Carol A Wade (NPI# 1427085596, PAC ID# 2860577624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1427085596 |
| PAC ID by PECOS | 2860577624 |
| Professional Enrollment ID | I20080304000791 |
| Full Name | Carol A Wade |
| Organization Legal Name | ST LUKES CLINIC - WOOD RIVER LLC |
| Address |
21 E Maple St Suite A Hailey ID 83333-4900 |
| Phone Number | 2087883200 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173783818 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1450 Aviation Dr, Hailey, ID 83333-8785 | ST LUKES CLINIC - WOOD RIVER LLC | |
| 21 E Maple St, Suite A, Hailey, ID 83333-4900 | 2087883200 | ST LUKES CLINIC - WOOD RIVER LLC |
| Organization Legal Name | ST LUKES CLINIC - WOOD RIVER LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricardo Delgado | Internal Medicine | St Lukes Clinic - Wood River LLC | 191 W 5th St, Slc Sun Valley Sports Medicine, Ketchum, ID 83340 |
| Amy C Drumm | Family Medicine | St Lukes Clinic - Wood River LLC | 191 5th St W, Ketchum, ID 83340-9998 |
| Cortney A Vandenburgh | Family Medicine | St Lukes Clinic - Wood River LLC | 1450 Aviation Dr, Hailey, ID 83333-8785 |
| Frank M Batcha | Family Medicine | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Suite 201, Ketchum, ID 83340-9998 |
| Emily G Karassik | Physician Assistant | St Lukes Clinic - Wood River LLC | 1450 Aviation Dr, Hailey, ID 83333-8785 |
| Dan S Fairman | Internal Medicine | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Ketchum, ID 83340-9998 |
| Susanne Choby | Psychiatry | St Lukes Clinic - Wood River LLC | 1450 Aviation Dr, Hailey, ID 83333-8785 |
| Karin M Lindholm | Neurology | St Lukes Clinic - Wood River LLC | 1450 Aviation Dr, Hailey, ID 83333-8785 |
| Royal A Mcclure | Internal Medicine | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Ketchum, ID 83340-9998 |
| Matthew C Reeck | Dermatology | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Ketchum, ID 83340-9998 |
| Street Address |
21 E MAPLE ST SUITE A |
| City | HAILEY |
| State | ID |
| Zip | 83333-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laira L Thomas | Nurse Practitioner | St Lukes Clinic - Wood River LLC | 21 E Maple St, Suite A, Hailey, ID 83333-4900 |
| Donald M Levin | Family Medicine | St Lukes Clinic - Wood River LLC | 21 E Maple St, Suite A, Hailey, ID 83333-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Hogan | Physical Therapy | 21 E Maple St D, Hailey, ID 83333-4900 | |
| Heather M Nope | Physician Assistant | Alliance Family Services Inc | 141 Citation Way, Suite 5, Hailey, ID 83333-5104 |
| Karen M Martinat | Clinical Social Worker | Alliance Family Services Inc | 141 Citation Way, Suite 5, Hailey, ID 83333-5104 |
| Derek A Schildknecht | Physical Therapy | 1014 Business Park Dr A, Hailey, ID 83333-5233 | |
| Kimberly A Mazik | Physical Therapy | Hailey Sport and Spine Physical Therapy Pa | 1014 Business Park Dr A, Hailey, ID 83333-5233 |
| Cheryl S Lenhart | Physical Therapy | Hailey Sport and Spine Physical Therapy Pa | 1014 Business Park Dr A, Hailey, ID 83333-5233 |
| David Bernard Verst | Orthopedic Surgery | 15 W Galena St, Hailey, ID 83333-8414 | |
| Kimberly Anne Hayes | Clinical Social Worker | 409 N Main St, Hailey, ID 83333-8416 | |
| Thomas F Crais Jr. | Plastic and Reconstructive Surgery | 315 S River St, Hailey, ID 83333-8426 | |
| Daniel L Parke | Chiropractic | 222 S River St, Hailey, ID 83333-8427 | |
| Find all physicians in zip 83333 | |||
| City | HAILEY |
| Zip Code | 83333 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HAILEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carol A Wade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.