Individual provider Active NPI

Wade R Cartwright, MD

  • Otolaryngology Physician
  • Oakland, CA
National Provider Identifier
1376643254
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G262211 Issued in CA
Practice address
411 30TH St
# 401
Oakland, CA 94609-3301
Phone
(510) 834-6642
Fax
(510) 834-3115
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G262211 CA Primary

Addresses

Primary practice location

411 30TH St
# 401
Oakland, CA 94609-3301

Mailing address

411 30TH St
# 401
Oakland, CA 94609-3301
Phone (510) 834-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100526000433 CA Practitioner - Otolaryngology 8729117981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 30TH St
Suite 401
Oakland, CA 94609-3303
Phone (510) 834-6642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G262211CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wade R. Cartwright M.D. a Professional Corporation Otolaryngology CurrentSince Dec 28, 2009 Accepting new patients

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
  • Direct secure messaging: wade.cartwright.1@3700.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1376643254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "# 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-834-6642",
            "fax_number": "510-834-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST",
            "address_2": "# 401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-834-6642",
            "fax_number": "510-834-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "WADE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G262211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.