Jason M. Wade, OT

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

OT917 Issued in ME

Practice address

219 Capitol St
Suite 2
Augusta, ME 04330-6235

Phone

(123) 456-7890

NPI assigned

Jun 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1124288659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "800-232-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CAPITOL ST",
            "address_2": "SUITE 2",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306235",
            "telephone_number": "123-456-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JASON",
        "middle_name": "M.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "ME",
            "license": "OT917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhiannon Vigue
• Carlos F Villamarin, MD
• VK Augusta, LLC
• Phi-Khanh Katherine Vo, PHARMD
• Rebecca R Vose, PA
• Mary K Wade, OTR/L
• Zulara Nawaz Wahla, MBBS
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Occupational Medicine Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Occupational Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.