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Contact Information

SCOTT A WADE, MD
802 N RIVERSIDE RD STE G50
SAINT JOSEPH, MO64507-2510
 Phone: 816-671-4888
 Fax: 816-671-4890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for SCOTT A WADE · (Male)

NPI Number 1639103583
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 12/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 100462
  • KS Medicaid 100132200B
  • MO Medicaid 203325600
  • MO Other 10001185602 COMMUNITY HEALTH PLAN
  • MO Other P00203415 RR MEDICARE
Hospital affiliation(s)
  • HEARTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    5325 FARAON STREET
    SAINT JOSEPH, MO 64506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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