Gary L Wade, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00022330 Issued in WA

Practice address

2422 20TH St SW
Jamestown, ND 58401-6201

Phone

(701) 952-4854

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in CA, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  WA

  Medicare reassignment NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  WA

  Medicare reassignment NPD
• Concord Radiology PLLC

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1598260515

  WA

  Medicare reassignment
• Inland Imaging Arizona LLC

  • Pediatric Radiology Physician
  • Giblert, AZ
  • NPI 1518087345

  Diagnostic Radiology

  NPD (past)
• Inland Imaging Associates PS

  • Surgical Physician Assistant
  • Spokane, WA
  • NPI 1770544512

  Diagnostic Radiology

  NPD (past)
• Inland Imaging LLC

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1851352348
  NPD (past)
• Kashyap Patel MD PA

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1114037462
  NPD (past)
• Moses Lake Community Health Center

  • Student Health Clinic/Center
  • Quincy, WA
  • NPI 1730756644
  NPD (past)
• Mount Shasta Radiology Inc

  • Diagnostic Radiology Physician
  • Mount Shasta, CA
  • NPI 1568431278
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1306832571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 SNIDER DR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628075",
            "telephone_number": "530-340-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016201",
            "telephone_number": "701-952-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00022330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Ukestad, DDS
• Alice B Urban, RN
• Toni Vaneaton, RN
• Makayla Vaughan, FNP
• Sarah Grace Voigt
• Wal-Mart Stores, Inc.
• Kenady Waldie, DPT
• Ross Allen Waleri
• Sarah Walker
• Westin Scott Walker

• Diagnostic Radiology Physician in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.