James David Wade in Carbondale - Nurse Anesthetist, Certified Registered
James David Wade - NPI 1639223464
James David Wade is a Nurse Anesthetist, Certified Registered in Carbondale, Illinois. James David Wade practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for James David Wade is 1639223464. The last update date is 2008-12-01.
James David Wade's current location address is 35 Albany Rd Ste C, Carbondale, Illinois. You can contact this provider via phone number 6184575111 and fax number 6184576560. The mailing address for James David Wade is 35 Albany Rd Ste C, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James David Wade |
|---|---|
| Address | 35 Albany Rd Ste C, Carbondale, Illinois |
| Phone Number | 6184575111 |
| Fax Number | 6184576560 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1639223464 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2008-12-01 |
Provider Mailing Address Detail
| Address | 35 Albany Rd Ste C |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629037605 |
| Phone Number | 6184575111 |
| Fax Number | 6184576560 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 209006566 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41300787 | IL | IL RN LICENSE NUMBER | |
| 209006566 | IL | APN LICENSE # |
Post Comment/ Review Below
What is the unique identification code assigned to James David Wade by the Centers for Medicare & Medicaid Services?
The James David Wade has been issued the NPI (National Provider Identifier) 1639223464. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where James David Wade is physically located?
The James David Wade is situated at the following address: 35 Albany Rd Ste C, Carbondale, IL 629037605.
What is James David Wade's specialized field of practice, and what is the corresponding taxonomy classification code?
The James David Wade's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639223464 to James David Wade?
The Centers for Medicare & Medicaid Services originally issued the 1639223464 to James David Wade on 2007-01-22.
As of what date was the information regarding James David Wade, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James David Wade, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-12-01.
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