Steven Thomas Duel Wade, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

2015043959 Issued in MO

Practice address

501 W Pine St
Farmington, MO 63640-1439

Phone

(573) 756-8888

Fax

(573) 701-9547

NPI assigned

Jun 28, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073877619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-756-8888",
            "fax_number": "573-701-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401439",
            "telephone_number": "573-756-8888",
            "fax_number": "573-701-9547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Walton Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401935",
            "country_code": "US",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Walton Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401935",
            "country_code": "US",
            "telephone_number": "573-756-0500",
            "fax_number": "573-756-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "STEVEN",
        "middle_name": "THOMAS DUEL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2015043959",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2015043959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Farmington, MO
• Providers in Farmington, MO by specialty
• Audiologist-Hearing Aid Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.