Active NPI
Jason Wade, M.D.
- Emergency Medicine Physician
- Coaldale, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD491113
- Practice address
- 360 W Ruddle St
Coaldale, PA 18218-1027 - Phone
- (570) 645-8127
- NPI assigned
- Jun 24, 2015
- Last updated
- May 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD491113 | PA | Primary |
Addresses
Primary practice location
360 W Ruddle St
Coaldale, PA 18218-1027
Mailing address
360 W Ruddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Warren Alpert Medical School of Brown University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Union St
Ellsworth, ME 04605-1534
Phone (207) 664-5311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD491113 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
Interoperability endpoints
- jason.wade@xdr.hhchealthdirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Miners Memorial Hospital
- General Acute Care Hospital
- Coaldale, PA
- NPI 1437182847
-
dba Northern Light Maine Coast Hospital
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1134501323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W RUDDLE ST",
"city": "COALDALE",
"state": "PA",
"postal_code": "182181027",
"telephone_number": "570-645-8127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W RUDDLE ST",
"city": "COALDALE",
"state": "PA",
"postal_code": "182181027",
"telephone_number": "570-645-8127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "JASON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-24",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD491113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coaldale, PA
- The Carbon-Schuylkill Community Hospital, Inc. (St. Luke's Miners Memorial Hospital ER)
- The Carbon-Schuylkill Community Hospital, Inc. (St. Luke's Miners Memorial Hospital)
- The Carbon-Schuylkill Community Hospital, Inc. (St. Luke's Miners Memorial Hosp.)
- Jennifer Toth, RD
- Idona C Umali, MD
- Tia M Werner, PA-C
- Tiffany L Woll, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.