Individual provider Active NPI

Scott Alan Wade, M.D.

  • Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1639103583
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
100462 Issued in MO
Practice address
802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510
Phone
(816) 671-4888
Fax
(816) 671-4890
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 100462 MO
Vascular Surgery Physician 2086S0129X 100462 MO
Surgery Physician 208600000X 100462 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510

Mailing address

802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510
Phone (816) 671-4888

Other practice location 1

802 N. Riverside Rd.
Ste. G 50
Saint Joseph, MO 64507-2553
Phone (816) 671-4888

Other identifiers 4

IdentifierTypeStateIssuer
10001185602OtherMOCOMMUNITY HEALTH PLAN
203325600MedicaidMO
P00203415OtherMORR MEDICARE
100132200BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050103000649 MO Practitioner - General Surgery 3173581410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

802 N Riverside Rd
G50 Mosaic Life Care
St Joseph, MO 64057-2510
Phone (816) 671-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100462MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Jan 1, 2005 Accepting new patients
Heartland Regional Medical Center Surgery CurrentSince Jan 1, 2005 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

1314 N 36th St
#C
Saint Joseph, MO 64506
Phone (816) 271-4022

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

901 Heartland Rd
Ste 1810
Saint Joseph, MO 64506
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

802 N Riverside Rd
Ste G50
Saint Joseph, MO 64507
Phone (816) 271-6666

Interoperability endpoints

  • Direct secure messaging: scott.wade@direct.mymlc.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1639103583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE G50",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072510",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE G50",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072510",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 N. Riverside Rd.",
            "address_2": "Ste. G 50",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072553",
            "country_code": "US",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "100462",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "100462",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "100462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001185602",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203325600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00203415",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132200B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.