Individual provider Active NPI

Katharine A. Wade, M.D.

  • Pediatrics Physician
  • Akron, OH
National Provider Identifier
1114232147
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.120934 Issued in OH
Practice address
701 White Pond Dr Ste 100
Akron, OH 44320-1193
Phone
(330) 865-1252
Fax
(330) 865-1260
NPI assigned
Aug 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.120934 OH Primary

Addresses

Primary practice location

701 White Pond Dr Ste 100
Akron, OH 44320-1193

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 865-1252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwade4805@direct.chmca.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20131030001759 OH Practitioner - Pediatric Medicine 9830324714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.120934OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics CurrentSince Sep 16, 2013 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Sep 16, 2013 Accepting new patients

Locations

701 White Pond Dr
Ste 100
Akron, OH 44320
Phone (330) 865-1252

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

6076 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1777

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1114232147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-865-1252",
            "fax_number": "330-865-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE POND DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201193",
            "telephone_number": "330-865-1252",
            "fax_number": "330-865-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "KATHARINE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-14",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.120934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwade4805@direct.chmca.org",
            "affiliation": "N",
            "address_1": "701 White Pond Dr Ste 100",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443201193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.