GREG WADE (NPI# 1386280253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386280253 |
| Entity Type | Individual |
| Full Name | GREG WADE |
| Credential | FNP-C |
| Practice Address |
1201 S Main St Crown Point IN 46307-8481 |
| Mailing Address |
2907 S Forsythia Ln Saint Anne IL 60964-5532 |
| Practice Telephone | 2197382100 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 209021656 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71010547A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2907 S Forsythia Ln, Saint Anne, IL 609645532 | 8152101234 |
| Street Address |
1201 S MAIN ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366153 | Carrie Shaffer | Emergency Medicine | 1201 S Main St, Crown Point, IN 46307-8481 | 2005-06-20 |
| 1417561770 | David C Wright | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-09-03 |
| 1326665043 | Jeinette Javier San Juan | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-06-29 |
| 1184250623 | Franciscan Alliance, Inc | Pharmacy | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-03-17 |
| 1295370732 | Steven Ferris | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-07 |
| 1114583564 | Carlo Balmaseda | Registered Nurse | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-05-10 |
| 1538636808 | Sophia Pollalis | Specialist/Technologist | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-10-25 |
| 1578038840 | Dharmesh Shah | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-10-12 |
| 1609360965 | David Velasco | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-06-20 |
| 1679067243 | Katherine Markiewicz | Doula | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174162754 | Katina A. Varner | Nurse Practitioner | 12445 Pennsylvania St, Crown Point, IN 46307-8072 | 2019-12-31 |
| 1255996336 | Elaine Diana Tsiakopoulos | Nurse Practitioner | 925 Lillian Russell Ct, Crown Point, IN 46307-7517 | 2019-05-05 |
| 1174039101 | Nickolas Emmanuel Mileos | Nurse Practitioner | 7630 E 112th Ave, Crown Point, IN 46307-5704 | 2017-12-28 |
| 1740792506 | Regina Springstead | Nurse Practitioner | 213 S Court St Ste B, Crown Point, IN 46307-3991 | 2017-11-01 |
| 1124436217 | Michelle Wathier | Nurse Practitioner | 2272 North Main Street, Minute Clinic, Crown Point, IN 46307 | 2014-08-01 |
| 1225218746 | Deborah Lynn Wickenden | Nurse Practitioner | 9150 East 109th Avenue, Crown Point, IN 46307 | 2007-11-13 |
| 1881724730 | Michelle Breunig | Nurse Practitioner | 180 W 128th Pl, Suite 1, Crown Point, IN 46307-7959 | 2007-03-07 |
| 1871634188 | Karen A Mannino | Nurse Practitioner | 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 | 2007-02-09 |
| 1265400626 | Jill Carley | Nurse Practitioner | 9330 Broadway, Crown Point, IN 46307-8602 | 2006-03-10 |
| 1235107921 | Leslie Lembke | Nurse Practitioner | 9330 S. Broadway, Crown Point, IN 46307 | 2006-03-09 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on GREG WADE.
| 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.