DR. CHADWICK J SHADE (NPI# 1255658860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255658860 |
| Entity Type | Individual |
| Full Name | DR. CHADWICK J SHADE |
| Credential | PHD |
| Practice Address |
5955 Zeamer Avenue 3rd Mdg Elmendorf Afb AK 99506 |
| Practice Telephone | 9075802181 |
| Mailing Telephone | 9075802181 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY0091 | MO | Behavioral Health & Social Service Providers |
| Street Address |
5955 ZEAMER AVENUE 3RD MDG |
| City | ELMENDORF AFB |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167905 | James R Hallock | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2009-03-06 |
| 1801036603 | Andrew A Beaulieu | Social Worker | 5955 Zeamer Avenue, 3mdg, Elmendorf Afb, AK 99506 | 2009-03-06 |
| 1588803662 | Laura Olienyk | Pharmacist | 5955 Zeamer Avenue, 3mdg, Elmendorf Afb, AK 99506 | 2009-02-12 |
| 1134376700 | William Arnold | Student in an Organized Health Care Education/Training Program | 5955 Zeamer Avenue, 3rd Mdg Sgd, Elmendorf Afb, AK 99506 | 2008-08-26 |
| 1285805069 | Angela M Hallock | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2008-03-19 |
| 1205013984 | April M Azaravich | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg/sgsp, Elmendorf Afb, AK 99506 | 2008-01-25 |
| 1083806640 | Krista M Jordan | Dietitian, Registered | 5955 Zeamer Avenue, 3rd Mdg/wic Office, Elmendorf Afb, AK 99506 | 2007-08-16 |
| 1043307481 | Lisa K Schuette | Dietitian, Registered | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2006-10-06 |
| 1851495162 | Matthew J Wolf | Emergency Medicine | 5955 Zeamer Avenue, 3rd Md6, Elmendorf Afb, AK 99506 | 2006-09-08 |
| 1568565927 | Jason Sweeney | Anesthesiology | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558345876 | Vicki Ann Lumley | Psychologist | 5955 Zeamer Ave, 3 Mdos/sgoh, Elmendorf Afb, AK 99506-3702 | 2005-11-30 |
| 1326039314 | Richard Thomas Barker | Psychologist | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911766 | Matthew James Vogler | Psychologist | 3340 Providence Dr Ste 565, Anchorage, AK 99508-4643 | 2020-01-07 |
| 1538640537 | Rachel Suzanne Woods | Psychologist | 2600 Denali St Ste 450, Anchorage, AK 99503-2754 | 2018-08-27 |
| 1003304346 | James Kyle Timmons | Psychologist | 1020 Potlatch Cir, Anchorage, AK 99503-1728 | 2018-04-23 |
| 1679990279 | Daniel Lord | Psychologist | 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 | 2014-03-21 |
| 1457780678 | Cody Chipp | Psychologist | 1131 E International Rd, Anchorage, AK 99518-1408 | 2013-11-07 |
| 1932497617 | Life Coach Psychology Plc | Psychologist | 3105 Lakeshore Dr, Suite B102, Anchorage, AK 99517-2806 | 2011-07-15 |
| 1891085007 | Terri Draper | Psychologist | 4320 Diplomacy Drive, Suite 1500, Anchorage, AK 99508 | 2011-04-10 |
| 1720383185 | Nicole Levaillant | Psychologist | Building 786 D Street, Anchorage, AK 99505 | 2011-01-17 |
| 1215231345 | Irmgard Jo Romine | Psychologist | 3980 Dunlap Ave, Fairbanks, AK 99709-3509 | 2011-01-04 |
| 1144549924 | Christopher Scott Brown | Psychologist | 3180 Peger Rd Ste 248, Fairbanks, AK 99709-5485 | 2010-05-19 |
| Find all providers with the same taxonomy | ||||
| City | ELMENDORF AFB |
| Zip Code | 99506 |
Please comment or provide details below to improve the information on DR. CHADWICK J SHADE.
| 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.