Active NPI
Wade Joel Otruba, M.D.
- Anesthesiology Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD22605
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 275-0987
- NPI assigned
- Mar 31, 2011
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD22605 | ME | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
43 Whiting Hill Rd
Brewer, ME 04412-1005
Other practice location 1
169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311
Other practice location 2
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811
Other practice location 3
112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
Other practice location 4
12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072
Other practice location 5
835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312
Other practice location 6
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000
Other practice location 7
25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250
Other practice location 8
90 Medical Park Dr Ste 2000
Lewisburg, PA 17837-6343
Phone (570) 524-2722
Other practice location 9
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Other practice location 10
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500
Other practice location 11
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
Other practice location 12
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264
210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299
25 Monument Rd
York, PA 17403-5073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD22605 | ME | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evangelical Medical Services Organization | Anesthesiology | Current | Accepting new patients |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
Locations
835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312
12 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6072
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
90 Medical Park Dr
Lewisburg, PA 17837
Phone (570) 524-1213
1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000
1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110
90 Medical Park Dr
Ste 2000
Lewisburg, PA 17837
Phone (570) 524-2722
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
55 Monument Rd
York, PA 17403
Phone (717) 741-5257
1001 S George St
York, PA 17403
Phone (717) 812-7687
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Interoperability endpoints
- wotruba485283@wellspan.direct-ci.com
Organizations & group practices 7
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.
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Urology
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
dba WellSpan Anesthesiology
- Anesthesiology Physician
- Lewisburg, PA
- NPI 1205206943
-
dba Wellspan Internal Medicine - Red Lion
- Internal Medicine Physician
- Red Lion, PA
- NPI 1093882144
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Evangelical Community Hospital
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1942599840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL RD",
"city": "BREWER",
"state": "ME",
"postal_code": "044121005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-275-0987"
}
],
"practiceLocations": [
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-733-0311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011720",
"country_code": "US",
"telephone_number": "717-267-7164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 St Paul Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 5th Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014220",
"country_code": "US",
"telephone_number": "717-217-4312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379350",
"country_code": "US",
"telephone_number": "570-522-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 270",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035073",
"country_code": "US",
"telephone_number": "717-741-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Medical Park Dr Ste 2000",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376343",
"country_code": "US",
"telephone_number": "570-524-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-812-7687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035023",
"country_code": "US",
"telephone_number": "717-812-6425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-3425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTRUBA",
"first_name": "WADE",
"middle_name": "JOEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "MD22605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.