Organization Active NPI

Wade R. Cartwright M.D. a Professional Corporation

  • Otolaryngology Physician
  • Oakland, CA
National Provider Identifier
1174842835
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WADE R. CARTWRIGHT M.D. A PROFESSIONAL CORPORATION
Practice address
411 30TH St
Suite 401
Oakland, CA 94609-3310
Phone
(510) 834-6642
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Mr. Wade R Cartwright, M.D.NPI 1376643254
Title
President
Phone
(510) 834-6642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

411 30TH St
Suite 401
Oakland, CA 94609-3310

Mailing address

411 30TH St
Suite 401
Oakland, CA 94609-3310
Phone (510) 834-6642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000370 CA Part B Supplier - Clinic/Group Practice 3375672520 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

411 30th St
Ste 401
Oakland, CA 94609
Phone (510) 834-6642

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3700/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1174842835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "510-834-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "SUITE 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093310",
            "telephone_number": "510-834-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE R. CARTWRIGHT M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-834-6642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.