Individual provider Active NPI

Wade Clark Van Sice, M.D.

  • Orthopaedic Surgery Physician
  • Florence, OR
National Provider Identifier
1467625756
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD222569 Issued in OR
Practice address
530 9TH St
Florence, OR 97439-7388
Phone
(541) 997-7104
Fax
(541) 997-5975
NPI assigned
Apr 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 75050 MN
Orthopaedic Surgery Physician 207X00000X 122314 FL
Orthopaedic Surgery Physician 207X00000X MD.202524 LA
Orthopaedic Surgery Physician 207X00000X MD222569 OR Primary

Addresses

Primary practice location

530 9TH St
Florence, OR 97439-7388

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 898-7051

Other practice location 2

2055 Military Trl Ste 204
Jupiter, FL 33458-7830
Phone (561) 744-9733

Other identifiers 1

IdentifierTypeStateIssuer
1500356MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL, MN, OR, MT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110125000230 LA Practitioner - Sports MedicinePractitioner - Orthopedic SurgeryPractitioner - Emergency Medicine 3678752565 Reassigns benefits to 1 organization
I20150713002021 FL Practitioner - Orthopedic Surgery 3678752565
I20230908002862 MN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3678752565
I20241118003885 OR Practitioner - Orthopedic Surgery 3678752565 Reassigns benefits to 2 organizations
I20250904004395 MT Practitioner - Orthopedic Surgery 3678752565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Hospital DistrictGroup PAC ID 2163331000, 117 clinicians

Practice addresses (Care Compare)

1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280

Hospital & facility affiliations

  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Coquille Valley Hospital Hospital, Coquille, OR, CCN 381312
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122314FLMDOrthopaedic Surgery Physician
75050MNMDOrthopaedic Surgery Physician
MD222569ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 20, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jul 22, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Nov 11, 2024 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 20, 2023 Accepting new patients
Sanford Health Network CurrentSince Dec 6, 2023 Accepting new patients
Sanford Health Network CurrentSince Dec 6, 2023 Accepting new patients
Peacehealth Current Accepting new patients
Sanford Health Network Current Accepting new patients
Bay Area Hospital District CurrentSince Nov 11, 2024 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jul 22, 2025 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Marcus Daly Memorial Hospital Corp Orthopaedic Surgery Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

1203 S Tyler St
Covington, LA 70433
Phone (985) 875-2234

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste H
Hamilton, MT 59840
Phone (406) 375-4790

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

400 9th St
Florence, OR 97439
Phone (541) 997-8412

530 9th St
Florence, OR 97439
Phone (541) 997-7104

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1467625756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397388",
            "telephone_number": "541-997-7104",
            "fax_number": "541-997-5975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Ochsner Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338107",
            "country_code": "US",
            "telephone_number": "985-898-7051",
            "fax_number": "985-871-2577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Military Trl Ste 204",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587830",
            "country_code": "US",
            "telephone_number": "561-744-9733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN SICE",
        "first_name": "WADE",
        "middle_name": "CLARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "75050",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "122314",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.202524",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD222569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1500356",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.