George A. Wade is a Sports Medicine in Boise, Idaho. George A. Wade practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for George A. Wade is 1063418903. The last update date is 2007-07-09.
George A. Wade's current location address is 1188 University Dr, Boise, Idaho. You can contact this provider via phone number 2083368250 and fax number 2083459514. The mailing address for George A. Wade is 1188 University Dr, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George A. Wade |
|---|---|
| Address | 1188 University Dr, Boise, Idaho |
| Phone Number | 2083368250 |
| Fax Number | 2083459514 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063418903 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1188 University Dr |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837063009 |
| Phone Number | 2083368250 |
| Fax Number | 2083459514 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | M3813 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10005427 | ID | REGENCE BLUE SHIELD # | |
| 38133 | ID | BLUE CROSS OF IDAHO # |
Post Comment/ Review Below
What is the unique identifier code issued to George A. Wade by the Centers for Medicare & Medicaid Services?
The George A. Wade has been assigned the NPI (National Provider Identifier) 1063418903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the George A. Wade's physical address?
The George A. Wade is physically located at 1188 University Dr, in the city of Boise, ID, with the postal code 837063009.
What is the George A. Wade's area of specialization and corresponding taxonomy classification?
The George A. Wade's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063418903 to George A. Wade?
The Centers for Medicare & Medicaid Services originally issued the 1063418903 to George A. Wade on 2005-06-24.
As of what date were the details pertaining to George A. Wade last refreshed?
The information related to the George A. Wade, including its address, specialty, and other relevant details, was last updated on 2007-07-09.