Rona Lita Wadle, D.O.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

5101013830 Issued in MI

Practice address

33722 Woodward Ave
Birmingham, MI 48009-0912

Phone

(248) 919-4900

Fax

(248) 919-4901

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Independent Emergency Physicians, P.C.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Southfield, MI
  • NPI 1780791343
  Medicare reassignment NPD
• Meadowbrook Urgent Care II PC

  • Urgent Care Clinic/Center
  • Novi, MI
  • NPI 1831320423
  NPD (past) Authorized official
• Somerset Urgent Care PLLC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1124461702
  NPD
• Somerset Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Troy, MI
  • NPI 1679916258
  NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1649227315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BIRD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480092049",
            "telephone_number": "248-644-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33722 WOODWARD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090912",
            "telephone_number": "248-919-4900",
            "fax_number": "248-919-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLE",
        "first_name": "RONA",
        "middle_name": "LITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "5101013830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114412960",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114412950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MICHIGAN",
            "identifier": "RW013830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Variety Far Conservatory
• William James Vasileff, MD
• Raymond J. Vasser, PH.D.
• Nicole Sapiro Vinckier, P.A.
• Samantha Voss
• Elliot Charles Wagenheim, M.D.
• Jolyn Welsh Wagner, M.D.
• Walgreen Co
• Jordan Luree Walsh, MT-BC
• Warby Parker Inc.

• Emergency Medical Services (Emergency Medicine) Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.