Wade Hollingshead (NPI# 1962438895, PAC ID# 4183628092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962438895 |
| PAC ID by PECOS | 4183628092 |
| Professional Enrollment ID | I20060907000524 |
| Full Name | Wade Hollingshead |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Address |
850 N Main Milford UT 84751-0640 |
| Phone Number | 4353872471 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365352036 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 461335 | BEAVER VALLEY HOSPITAL |
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 850 N Main, Milford, UT 84751-0640 | 4353872471 | BEAVER MEDICAL, LLC |
| Organization Legal Name | BEAVER MEDICAL, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin R Horton | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Byron Noal Robinson | Family Practice | Beaver Medical, LLC | 451 N Main, Milford, UT 84751-0640 |
| Rebecca S Rasmusson | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lance C Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Richard Wade Oakden | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Rhett Roger Smith | Family Medicine | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Joan Lee Yardley | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Lindsay A Cheney | Nurse Practitioner | Beaver Medical, LLC | 1059 N 100, Beaver, UT 84713-7758 |
| Roger Smith | Family Practice | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Kenneth L Hussey | Physician Assistant | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Street Address |
850 N MAIN |
| City | MILFORD |
| State | UT |
| Zip | 84751-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Smith | Family Practice | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Kenneth L Hussey | Physician Assistant | Beaver Medical, LLC | 850 N Main, Milford, UT 84751-0640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Noal Robinson | Family Practice | Beaver Medical, LLC | 451 N Main, Milford, UT 84751-0640 |
| City | MILFORD |
| Zip Code | 84751 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Wade Hollingshead.
| 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.