Shawna Nicholle Wade, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

T2007-060 Issued in AR

Practice address

2 Stonebridge Circle #227
Little Rock, AR 72223-4572

Phone

(501) 868-5456

NPI assigned

May 2, 2007

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  NPD
• Acs Primary Care Physicians of Arkansas PA

  • Emergency Medicine Physician
  • Hot Springs, AR
  • NPI 1255388351
  NPD (past)
• Petite Roche Emergency Physicians

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1861504409
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437371358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STONEBRIDGE CIRCLE #227",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234572",
            "telephone_number": "501-868-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONEBRIDGE CIRCLE #227",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234572",
            "telephone_number": "501-868-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SHAWNA",
        "middle_name": "NICHOLLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "T2007-060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Wade, MD
• Iris Wade, LMSW
• Ken Wade, CRNA
• Latresha Rochelle Wade, NP
• Shaketra Lanea Wade
• Tonika Wade, QBHP
• Willie Wade
• Carol Lovelace Wadley, M.C.D., CCC-SLP
• Ashley Clinton Wadsworth
• Charmaine Lavonne Wafer

• Emergency Medicine Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.