Active NPI
Wade S Bollinger, M.D.
- Surgery Physician
- Ithaca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 240962
- Practice address
- 1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397 - Phone
- (607) 273-3161
- Fax
- (607) 273-4979
- NPI assigned
- Aug 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 240962 | NY | Primary |
Addresses
Primary practice location
1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397
Mailing address
1301 Trumansburg Rd
Suite E
Ithaca, NY 14850-1397
Phone (607) 273-3161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, ND, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| St Joseph'S Hospital and Health Center | Current | Accepting new patients | |
| Schuyler Hospital Inc | Surgery | Current | Accepting new patients |
| Lutheran Charity Association | Current | Accepting new patients | |
| St Josephs Hospital and Health Center | Current | Accepting new patients | |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Lutheran Charity Association | Current | Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Surgery | Current | Accepting new patients |
| Ashley Valley Physician Practice LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Past | Accepting new patients |
Locations
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050
220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
150 W 100 N
Ste 102S
Vernal, UT 84078
Phone (435) 781-2161
175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053
Interoperability endpoints
- wadebollinger@normd.allscriptsdirect.net
Organizations & group practices 15
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.
-
- Orthopaedic Surgery Physician
- Vernal, UT
- NPI 1740482025
-
- Critical Access Hospital
- Jamestown, ND
- NPI 1548256753
-
- Emergency Medicine Physician
- Jamestown, ND
- NPI 1821044652
-
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
-
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
- Medicare Defined Swing Bed Hospital Unit
- Montour Falls, NY
- NPI 1740364181
-
- Durable Medical Equipment & Medical Supplies
- Vernal, UT
- NPI 1457195034
-
- Surgery Physician
- Vernal, UT
- NPI 1790010619
-
- Multi-Specialty Clinic/Center
- Jamestown, ND
- NPI 1073569794
-
- Diagnostic Radiology Physician
- Jamestown, ND
- NPI 1700038981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1730198136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 TRUMANSBURG RD",
"address_2": "SUITE E",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501397",
"telephone_number": "607-273-3161",
"fax_number": "607-273-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 TRUMANSBURG RD",
"address_2": "SUITE E",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501397",
"telephone_number": "607-273-3161",
"fax_number": "607-273-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "WADE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "240962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.