DR. WADE CARL WERNECKE (NPI# 1184613929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184613929 |
| Entity Type | Individual |
| Full Name | DR. WADE CARL WERNECKE |
| Credential | MD |
| Practice Address |
300 Werner St Hot Springs AR 71913-6406 |
| Practice Telephone | 5016221043 |
| Practice Fax Number | 5016221199 |
| Mailing Telephone | 5016221043 |
| Mailing Fax Number | 5016221199 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2008-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
31819 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARELINKED | 5H0526972 | 01 |
| MN | HEALTHPARTNERS | HP31594 | 01 |
| MN | BCBS | 2M151WE | 01 |
| MN | 053502800 | 05 |
| Street Address |
300 WERNER ST |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051663 | Charles S Lane IIi | Psychiatry & Neurology | 300 Werner St, Hot Springs, AR 71913-6406 | 2005-05-23 |
| 1952921215 | Nicholas Andrew Ware | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2020-04-16 |
| 1366080061 | Rajamani Subbiah | Physical Therapist | 300 Werner St, Hot Springs, AR 71913-6406 | 2019-12-13 |
| 1376106591 | Amanda Jackson | Registered Nurse | 300 Werner St, Hot Springs, AR 71913-6406 | 2019-04-15 |
| 1083102446 | John Miles | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-05-01 |
| 1548758089 | David Paul Fraze | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913 | 2018-04-30 |
| 1124550090 | Daniel Anderson Smith | Emergency Medicine | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-30 |
| 1740712066 | Kathryn Elizabeth Speights | Nurse Anesthetist, Certified Registered | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-28 |
| 1225569080 | Patrick Flynn | Registered Nurse | 300 Werner St, Hot Springs, AR 71913-6406 | 2017-03-23 |
| 1447603691 | Matthew Barker | Emergency Medical Technician, Paramedic | 300 Werner St, Hot Springs, AR 71913-6406 | 2016-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1518249929 | Doc Network, Inc. | Emergency Medicine | 11705 E Creek Ln, Farmington, AR 72730-9564 | 2011-09-12 |
| 1376695098 | Angelique Thais Fontenette | Emergency Medicine | Jefferson Regional Medical Center, 1600 West 40th, Pine Bluff, AR 71603 | 2007-01-16 |
| 1972666147 | Ted Shields | Emergency Medicine | 1710 Mayfield Drive, Jonesboro, AR 72401 | 2006-12-19 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1023107935 | Khalid Rayaz | Emergency Medicine | 13212 Fairview Village Court, Little Rock, AR 72205-4417 | 2006-10-11 |
| 1538256680 | Gregory Hall | Emergency Medicine | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2006-10-09 |
| 1982715058 | Nes Western Arkansas, Inc | Emergency Medicine | East Main & South 20th St, Van Buren, AR 72956 | 2006-08-31 |
| 1295754075 | Roderick Rene Boyd | Emergency Medicine | 460 W Oak St Ste 601, El Dorado, AR 71730-4538 | 2006-07-19 |
| 1528007838 | Martin John Carey | Emergency Medicine | 1 Briar Patch Ct, Little Rock, AR 72211-4425 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
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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.