DR. VINCE T WAKE (NPI# 1356472484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356472484 |
| Entity Type | Individual |
| Full Name | DR. VINCE T WAKE |
| Credential | M.D. |
| Practice Address |
4760 Belpar St Nw Canton OH 44718-3603 |
| Practice Telephone | 3304929200 |
| Practice Fax Number | 3304925454 |
| Mailing Telephone | 3304929200 |
| Mailing Fax Number | 3304925454 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35089257 | OH | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
35089257 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2890028 | 05 |
| Street Address |
4760 BELPAR ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705063 | Daniel Alexander Charlick | Orthopaedic Surgery | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2005-10-21 |
| 1215535885 | Ashley Norman | Physician Assistant | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2020-10-15 |
| 1689146367 | Taylor Mattioli | Physician Assistant | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2018-12-19 |
| 1598234080 | Ceceilia Nichole Kissel | Physician Assistant | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2018-11-14 |
| 1023594835 | Kristen N Scali | Physical Therapist | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2018-07-15 |
| 1760970479 | Bonnie Austin | Nurse Practitioner | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2018-04-27 |
| 1720519424 | David Allen Stearns | Nurse Practitioner | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2017-03-23 |
| 1225402720 | Laurie Reiner | Specialist/Technologist | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2015-11-20 |
| 1083057392 | Meghan Elizabeth Nein | Pain Medicine | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2013-04-17 |
| 1730429275 | Kelsey S O'connor | Physical Medicine & Rehabilitation | 4760 Belpar St Nw, Canton, OH 44718-3603 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053874651 | Soh Care of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 140-302, Columbus, OH 43215-5134 | 2019-04-10 |
| 1588162861 | Select Health of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-185, Columbus, OH 43215-5134 | 2018-01-31 |
| 1679071955 | Joint Replacement Cin of Columbus LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-193, Columbus, OH 43215-5134 | 2018-01-31 |
| 1942708227 | Spine Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-300, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1306344684 | Joint Replacement Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-301, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1952750226 | Michael D Eppig Md | Orthopaedic Surgery | 6550 N Ridge Rd Ste 201, Madison, OH 44057-3458 | 2016-06-08 |
| 1295710465 | Jeffrey S Tharp | Orthopaedic Surgery | 1320 Corporate Dr, Ste 100, Hudson, OH 44236-4442 | 2005-12-10 |
| 1255315685 | Daryl R Sybert | Orthopaedic Surgery | 5040 Forest Drive, Suite 300, New Albany, OH 43054 | 2005-11-30 |
| 1992795850 | Jaideep Chunduri | Orthopaedic Surgery | 6480 Harrison Avenue, Suite 201, Cincinnati, OH 45247 | 2005-10-24 |
| 1871599357 | David Propst | Orthopaedic Surgery | 2400 Miami Valley Dr, Ste 160, Centerville, OH 45459-4774 | 2005-06-21 |
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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.