Scott Alan Wade in Saint Joseph - Trauma Surgery

Scott Alan Wade - NPI 1639103583

Scott Alan Wade is a Trauma Surgery in Saint Joseph, Missouri. Scott Alan Wade practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Scott Alan Wade is 1639103583. The last update date is 2017-12-01.

Scott Alan Wade's current location address is 802 N Riverside Rd Ste G50, Saint Joseph, Missouri. You can contact this provider via phone number 8166714888 and fax number 8166714890. The mailing address for Scott Alan Wade is 802 N Riverside Rd Ste G50, Saint Joseph, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Scott Alan Wade
Address 802 N Riverside Rd Ste G50, Saint Joseph, Missouri
Phone Number 8166714888
Fax Number 8166714890
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639103583
Provider Enumeration Date 2006-07-10
Last Updated Date 2017-12-01

Provider Mailing Address Detail

Address 802 N Riverside Rd Ste G50
City Saint Joseph
State Missouri (MO)
Post Code 645072510
Phone Number 8166714888
Fax Number 8166714890

Provider's Primary Taxonomy Detail

Speciality Trauma Surgery
Taxonomy 2086S0127X
Licence No 100462
Definition:
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10001185602 MO COMMUNITY HEALTH PLAN
203325600 MO --
P00203415 MO RR MEDICARE
100132200B KS --

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FAQs about Scott Alan Wade

What is the unique provider identifier assigned to Scott Alan Wade?

The Scott Alan Wade has been issued the NPI (National Provider Identifier) 1639103583 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Scott Alan Wade is physically located?

The Scott Alan Wade is physically situated at the following address: 802 N Riverside Rd Ste G50, Saint Joseph, MO, 645072510.

What is Scott Alan Wade's specialized field of practice, and what is the corresponding taxonomy classification code?

The Scott Alan Wade's area of specialization is Trauma Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0127X.

When did the Scott Alan Wade receive its 1639103583?

The Scott Alan Wade was issued its 1639103583 on 2006-07-10, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Scott Alan Wade, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Scott Alan Wade, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-12-01.

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