Stephen Wade, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

242667 Issued in NY

Practice address

1508 Genesee St
Utica, NY 13502-5178

Phone

(315) 798-8737

Fax

(315) 732-1702

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Island Musculoskeletal Care MD PCGroup PAC ID 9537058573, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Hewlett, NY
  • NPI 1063524197
  Medicare reassignment Care Compare group NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Valley Stream, NY
  • NPI 1497867899
  NPD
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Richmond Hill, NY
  • NPI 1780071548
  NPD
• Masoom H. Qadeer, M.D., P.C.

  • Anesthesiology Physician
  • Deer Park, NY
  • NPI 1487703401
  NPD (past)
• Mann Anesthesia PA

  • Anesthesiology Physician
  • Whiting, NJ
  • NPI 1528234077
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1114067261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025178",
            "telephone_number": "315-798-8737",
            "fax_number": "315-732-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025178",
            "telephone_number": "315-798-8737",
            "fax_number": "315-732-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "242667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB3864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "03168343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Voorhees, BA
• Zhanna Voytovich, FNP-BC
• Alexander Ian Vroman, RN
• Semin Vukovic, PT, DPT
• Miranda Wade, R-PA
• Annie M Wafer, NP
• Punsara Wahalawatta, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Utica, NY
• Providers in Utica, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.