WADE HARRIS (NPI# 1134227945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134227945 |
| Entity Type | Individual |
| Full Name | WADE HARRIS |
| Credential | MD |
| Practice Address |
211 E Logan St Ste 201 Caldwell ID 83605-4882 |
| Practice Telephone | 2084540567 |
| Mailing Telephone | 2084540567 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TL-3792 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598848806 | Wade Kelly Harris | Dentist | 307a Foust St, Asheboro, NC 27203-5405 | 2006-10-23 |
| 1518516681 | Wade Harris | Counselor | 853 Medical Center Dr Ne, Salem, OR 97301-2752 | 2019-09-10 |
| 1972552040 | Wade Allen Harris | Psychiatry & Neurology | 701 Grove Rd, Suite 200, Greenville, SC 29605-4271 | 2006-05-08 |
| Street Address |
211 E LOGAN ST STE 201 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596136 | Sean R Weatherston | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4835 | 2005-11-22 |
| 1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
| 1174973374 | David Routt | Counselor | 211 E Logan St, Suite B3, Caldwell, ID 83605-4882 | 2016-06-18 |
| 1821303504 | Nationwide Neuro Health | Psychiatry & Neurology | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2010-08-18 |
| 1093950420 | Deborah Lee Sullivan | Nurse Practitioner | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2008-12-15 |
| 1003073560 | Joe Marie Franz Llenos | Family Medicine | 211 E Logan St, Suite 301, Caldwell, ID 83605-4882 | 2008-05-21 |
| 1154517050 | Travis William Palmer | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2007-09-24 |
| 1710013628 | Sharon E. Carswell | Family Medicine | 211 E Logan St, Suite 303, Caldwell, ID 83605-4882 | 2007-02-26 |
| 1235207937 | Brian Richard Trudeau | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2006-12-01 |
| 1063585305 | Idaho Sleep and Neurology Pllc | Specialist | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902220411 | Idaho Sleep and Neurology, Pllc | Psychiatry & Neurology | 1825 S Kimball Ave, Caldwell, ID 83605-4828 | 2014-02-05 |
| 1821303504 | Nationwide Neuro Health | Psychiatry & Neurology | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2010-08-18 |
| 1972545762 | West Valley Professional Fee Billing, LLC | Psychiatry & Neurology | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286188 | Nina Sienna Bozinov | Psychiatry & Neurology | 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | 2014-04-22 |
| 1922449453 | Sarita Said Said | Psychiatry & Neurology | 2400 W A St, Moscow, ID 83843-4902 | 2013-07-12 |
| 1386903359 | Daniel B Simmons | Psychiatry & Neurology | 1072 N Liberty St Ste 303, Boise, ID 83704 | 2012-05-11 |
| 1053678342 | Daniel Clark Abenroth | Psychiatry & Neurology | 9th Floor -- Neurosciences, 190 E Bannock St., Boise, ID 83712-8905 | 2012-04-12 |
| 1427294545 | Thomas E Henson | Psychiatry & Neurology | 3183 S Temperance Way, Boise, ID 83706-5703 | 2008-12-18 |
| 1235381948 | Karin Lindholm, D.o. | Psychiatry & Neurology | 901 N Curtis Rd Ste 403, Boise, ID 83706-1342 | 2008-10-14 |
| 1548452683 | Sergei V Kashirny | Psychiatry & Neurology | 125 E Idaho St Ste 300, Neurology, Boise, ID 83712-6256 | 2007-08-13 |
| 1316090426 | Affiliated Neurologists Pllc | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2007-01-19 |
| 1578667739 | Mary Elizabeth Gerard | Psychiatry & Neurology | 333 N 18th Ave Ste B4, Pocatello, ID 83201 | 2006-09-11 |
| 1437252723 | Eastern Idaho Neurological Associates Pa | Psychiatry & Neurology | 2353 Coronado Drive, Idaho Falls, ID 83404 | 2006-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.