Individual provider Active NPI

Lisa Wade, D.O

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1215376330
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020618 Issued in MI
Practice address
2970 Pierce Rd
Suite 2
Saginaw, MI 48604-8810
Phone
(989) 583-0295
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020618 MI Primary

Addresses

Primary practice location

2970 Pierce Rd
Suite 2
Saginaw, MI 48604-8810

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151123001150 MI Practitioner - Family Practice 7618277765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

Practice addresses (Care Compare)

1458 W Ctr Rd
Suite 1
Essexville, MI 48732-2151
Phone (989) 895-4625

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Bay Region CurrentSince Feb 3, 2020 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Nov 20, 2015 Accepting new patients
McLaren Bay Region Family Medicine CurrentSince Feb 3, 2020 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Nov 20, 2015 Accepting new patients
McLaren Bay Region Past Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

2919 Wilder Rd
Ste 110
Bay City, MI 48706
Phone (989) 671-5700

1458 W Center Rd
Essexville, MI 48732
Phone (989) 895-4625

1458 W Center Rd
Ste 1
Essexville, MI 48732
Phone (989) 895-4625

600 N Main St
Ste 110
Frankenmuth, MI 48734
Phone (989) 652-1320

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

2970 Pierce Rd
Ste 2
Saginaw, MI 48604
Phone (989) 583-0295

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Ste 2
Saginaw, MI 48603
Phone (989) 583-0100

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

2970 Pierce Rd
Ste 1
Saginaw, MI 48604
Phone (989) 583-0285

2970 Pierce Rd
Saginaw, MI 48604
Phone (989) 583-0280

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1215376330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 PIERCE RD",
            "address_2": "SUITE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486048810",
            "telephone_number": "989-583-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "LISA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.