Active NPI
Wade Clark Van Sice, M.D.
- Orthopaedic Surgery Physician
- Florence, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD222569
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1500356 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, FL, MN, OR, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
Practice addresses (Care Compare)
1775 Thompson Rd
Coos Bay, OR 97420-2125
Phone (541) 269-8280
Hospital & facility affiliations
- Bay Area Hospital
- Coquille Valley Hospital
- Curry General Hospital
- Sacred Heart Medical Center - Riverbend
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 122314 | FL | MD | Orthopaedic Surgery Physician |
| 75050 | MN | MD | Orthopaedic Surgery Physician |
| MD222569 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | 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.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Critical Access Hospital
- Florence, OR
- NPI 1578552402
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Neurological Surgery Physician
- Hamilton, MT
- NPI 1861730418
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Houma, LA
- NPI 1245782465
-
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
- Rural Health Clinic/Center
- Canby, MN
- NPI 1437243607
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Critical Access Hospital
- Coquille, OR
- NPI 1730223967
-
- Critical Access Hospital Clinic/Center
- Brookings, OR
- NPI 1083656367
-
- Critical Access Hospital
- Gold Beach, OR
- NPI 1487696985
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
-
- Psychiatric Hospital Unit
- Eugene, OR
- NPI 1568236974
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.