MR. JAMES DAVID WADE (NPI# 1639223464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639223464 |
| Entity Type | Individual |
| Full Name | MR. JAMES DAVID WADE |
| Credential | CRNA |
| Practice Address |
35 Albany Rd Ste C Carbondale IL 62903-7605 |
| Practice Telephone | 6184575111 |
| Practice Fax Number | 6184576560 |
| Mailing Telephone | 6184575111 |
| Mailing Fax Number | 6184576560 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209006566 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | APN LICENSE # | 209006566 | 01 |
| IL | IL RN LICENSE NUMBER | 041300787 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605114 | James Harrison Wade | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Anes Residency, 980695, 1250 E. Marshall Street, Richmond, VA 23298-0695 | 2019-05-28 |
| 1144524489 | James B Wade | Family Medicine | 3413 Brookside Dr, Hood River, OR 97031-8537 | 2010-12-30 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| 1295808863 | James W Wade | Surgery | 5233 Dijon Drive, Baton Rouge, LA 70817 | 2006-11-15 |
| 1992774459 | James L Wade IIi | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-03-16 |
| 1942296652 | James Meron Wade | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2836 | 2005-09-27 |
| 1386640399 | James P Wade | Family Medicine | 3701 Memorial Dr, Belleville, IL 62226-5412 | 2005-06-23 |
| 1326433343 | James Nolan Wade II | Social Worker | 1180 Old Jackson Rd, Farmington, MO 63640 | 2015-04-06 |
| 1851631212 | James David Wade | Counselor | 106 Forrest Ave, Cartersville, GA 30120-3614 | 2013-02-22 |
| 1548526486 | James H Wade | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2012-04-04 |
| Street Address |
35 ALBANY RD STE C |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62903-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841658200 | Corey Michal Bruff | Nurse Anesthetist, Certified Registered | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2016-02-01 |
| 1235527854 | Kyle Higdon | Registered Nurse | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2015-01-05 |
| 1831461607 | Thomas M Pinski | Registered Nurse | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2012-02-08 |
| 1356525588 | Joseph Liebenrood | Nurse Anesthetist, Certified Registered | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2007-12-24 |
| 1326222563 | Joshua K Johnson | Registered Nurse | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2007-12-24 |
| 1326165846 | Erin Elizabeth Stock | Anesthesiology | 35 Albany Rd Ste C, Carbondale, IL 62903-7647 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
| 1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
| 1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
| 1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
| 1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
| 1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
| 1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
| Find all providers in zip 62903 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1811989627 | Pamela Kay Sparling | Nurse Anesthetist, Certified Registered | 450 W Jackson St, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1463 | 2005-08-17 |
| 1871113696 | Summer R Black | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-04-22 |
| 1972099067 | Andrew Mcnally | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-07-02 |
| 1134610587 | Megan E Sims | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-22 |
| 1861991671 | Ashley Marie Browning | Nurse Anesthetist, Certified Registered | 1239 E Main St, Carbondale, IL 62901-3175 | 2018-02-07 |
| 1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
| 1205346483 | Britley Ann White | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-02 |
| 1831608363 | Phillip Dustin Deberry | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-09-27 |
| 1073031936 | Nathaniel C Crum | Nurse Anesthetist, Certified Registered | 405 W Main St, Carbondale, IL 62901-2903 | 2017-08-31 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62903 |
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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.