Troy Wade, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

5549 Issued in NY

Practice address

8118 Corporate Way
Mason, OH 45040-7350

Phone

(513) 947-8433

NPI assigned

Jun 21, 2024

Last updated

Jun 21, 2024By the provider in NPPES

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1306680525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 CORPORATE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407350",
            "telephone_number": "513-947-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "TROY",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "5549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackynzi Vonderhaar, RBT
• Jeanne Marie Vonerden, PSY.D.
• Angel Voon
• Michaela Vukovic, BS, CNIM
• Emily Anne Wade
• Julia Alexandra Wagner, OTD, OTR/L
• Marlo Wahle
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1441)
• Wal-Mart Stores East, LP (Vision Center 30-1441)
• Amber Lynn Walczyk, MS/LPCC

• Electroneurodiagnostic Specialist/Technologist in Mason, OH
• Providers in Mason, OH by specialty
• Electroneurodiagnostic Specialist/Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.