Individual provider Active NPI

Wade A Christiansen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lehi, UT
National Provider Identifier
1447482252
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
8324411-0501 Issued in UT
Practice address
179 N 1200 E Ste 103
Lehi, UT 84043-2255
Phone
(801) 995-0898
Fax
(801) 766-6022
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 8324411-0501 UT Primary

Addresses

Primary practice location

179 N 1200 E Ste 103
Lehi, UT 84043-2255

Mailing address

179 N 1200 E Ste 103
Lehi, UT 84043-2255
Phone (801) 995-0898

Other practice location 1

1355 N University Ave Ste 125
Provo, UT 84604-2722
Phone (801) 374-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000327 UT Practitioner - Podiatry 4082864251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

179 N 1200
Suite 103
Lehi, UT 84043-2255
Phone (801) 766-9947

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue422
Removal or shaving of skin growth233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arches Foot and Ankle Clinic PLLC Foot & Ankle Surgery CurrentSince May 8, 2014 Accepting new patients

Locations

179 N 1200 E
Ste 103
Lehi, UT 84043
Phone (801) 766-9947

Interoperability endpoints

  • Direct secure messaging: wade@direct.meditouchehr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447482252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 N 1200 E STE 103",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432255",
            "telephone_number": "801-995-0898",
            "fax_number": "801-766-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 N 1200 E STE 103",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432255",
            "telephone_number": "801-995-0898",
            "fax_number": "801-766-6022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 N University Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846042722",
            "country_code": "US",
            "telephone_number": "801-374-3010",
            "fax_number": "801-377-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "WADE",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "8324411-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.