Active NPI
Scott Alan Wade, M.D.
- Surgery Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 100462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001185602 | Other | MO | COMMUNITY HEALTH PLAN |
| 203325600 | Medicaid | MO | |
| P00203415 | Other | MO | RR MEDICARE |
| 100132200B | Medicaid | KS |
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
Enrollment records 1
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
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 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 15 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100462 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Heartland Regional Medical Center | Surgery | Current | 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
- 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.
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
-
- Specialist
- Maryville, MO
- NPI 1184189797
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Surgery
-
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1104962901
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.