Wade Eliot Anderson (NPI# 1679559439, PAC ID# 2860474020) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679559439 |
| PAC ID by PECOS | 2860474020 |
| Professional Enrollment ID | I20140402001589 |
| Full Name | Wade Eliot Anderson |
| Organization Legal Name | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Address |
1260 Nevada Pacific Blvd Fernley NV 89408-9871 |
| Phone Number | 7755757171 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638080500 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 | 7755757171 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Organization Legal Name | BANNER CHURCHILL COMMUNITY HOSPITAL |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Maxwell | Physician Assistant | Banner Churchill Community Hospital | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 |
| Karen Rodeffer-evans | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Poonam P Jani | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Timothy M Costa | Internal Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Christa A Robinson | Physician Assistant | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Mary Jane Bovo | Obstetrics/gynecology | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| John S Morrison | Nurse Practitioner | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Cesar P Udani | Family Medicine | Banner Churchill Community Hospital | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 |
| Lisa M Krupka | General Surgery | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Victor L Kim | Family Medicine | Banner Churchill Community Hospital | 801 E Williams Ave, Fallon, NV 89406-3052 |
| Street Address |
1260 NEVADA PACIFIC BLVD |
| City | FERNLEY |
| State | NV |
| Zip | 89408-9871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Maxwell | Physician Assistant | Banner Churchill Community Hospital | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 |
| Cesar P Udani | Family Medicine | Banner Churchill Community Hospital | 1260 Nevada Pacific Blvd, Fernley, NV 89408-9871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Thompson | Chiropractic | 165 W Main St, Suite B, Fernley, NV 89408-7665 | |
| Jeffrey Davis | Clinical Social Worker | 35 N W St, Fernley, NV 89408-7671 | |
| Kyle L. Hanford | Chiropractic | 186 E Main St, Suite 5, Fernley, NV 89408-7718 | |
| Jeremy T Einowski | Optometry | Robertson and Koenig Ltd | 198 E Main St, Fernley, NV 89408-7741 |
| Ashlee A Tinseth | Nurse Practitioner | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Susan Kitchell | Nurse Practitioner | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Umar B Nasir | Sleep Medicine | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| D. Clarke Cole | Emergency Medicine | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Ashley Resavy | Nurse Practitioner | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Scott W Schubert | Physical Medicine and Rehabilitation | Community Care Services LLC | 1343 Newlands Dr W, Fernley, NV 89408-8926 |
| Find all physicians in zip 89408 | |||
| City | FERNLEY |
| Zip Code | 89408 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FERNLEY + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.