Gary L Wade (NPI# 1306832571, PAC ID# 7012918352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1306832571 |
| PAC ID by PECOS | 7012918352 |
| Professional Enrollment ID | I20101122000086 |
| Full Name | Gary L Wade |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Address |
484 Snider Dr Walla Walla WA 99362-8075 |
| Phone Number | 8889650083 |
| Gender | M |
| Credential | MD |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7315841756 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| 050116 | NORTHRIDGE HOSPITAL MEDICAL CENTER |
| 050056 | ANTELOPE VALLEY HOSPITAL |
| 051333 | RIDGECREST REGIONAL HOSPITAL |
| 050063 | HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 484 Snider Dr, Walla Walla, WA 99362-8075 | 8889650083 | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaryd Yee | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 192 W Lanai St, Kahului, HI 96732-2817 |
| Larry R Sadler | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 136 Kai La Pl, Kihei, HI 96753-6508 |
| Alan A Alexander | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 578 Washington Blvd, Suite 948, Marina Del Rey, CA 90292-5442 |
| Robert Palmer Stecher | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 130 Sepulveda Blvd Unit, Suite 306, Los Angeles, CA 90049-3153 |
| John Swift | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 10750 Wilshire Blvd, Apt 702, Los Angeles, CA 90024-4470 |
| Harun Ozer | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 2788 Paloma St, Pasadena, CA 91107-2741 |
| Steven A Newman | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 149 Kawika Pl, Honolulu, HI 96822-5006 |
| Turgut Berkmen | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 100 Keokea Pl, Kula, HI 96790-7450 |
| Chao-hsu J Liu | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 6506 Sunnyland Ln, Dallas, TX 75214-3123 |
| Jared B Bowns | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 2757 Jordan Pointe Blvd, New Hill, NC 27562-9306 |
| Street Address |
484 SNIDER DR |
| City | WALLA WALLA |
| State | WA |
| Zip | 99362-8075 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Wallace | Clinical Social Worker | 19 E Birch, Suite 103, Walla Walla, WA 99362 | |
| Susan L Stough | Clinical Social Worker | 409 E Sumach St, Suite 6, Walla Walla, WA 99362-1202 | |
| Natasha Anne Rustad | Clinical Social Worker | 409 E Sumach St, Rustad Counseling LLC, Walla Walla, WA 99362-1202 | |
| Pavel S Blagov | Clinical Psychologist | 409 E Sumach St, Suite 3, Walla Walla, WA 99362-1202 | |
| Robert L Stough Jr. | Psychologist, Clinical | 409 E Sumach St, Walla Walla, WA 99362-1228 | |
| Chance Higginbotham | Chiropractic | 2200 Melrose St, 7a, Walla Walla, WA 99362-1579 | |
| Alayna M Brinton | Clinical Social Worker | 2330 Eastgate St, Suite 140, Walla Walla, WA 99362-1589 | |
| Sean Thomas Duffy | Family Medicine | Yakima Valley Farm Workers Clinic | 1120 W Rose St, Walla Walla, WA 99362-1662 |
| Bradley K Nielson | Optometry | 208 N 2nd Ave, Walla Walla, WA 99362-1806 | |
| Eric John Wiessner | Optometry | 614 E Alder St, Suite 1, Walla Walla, WA 99362-2073 | |
| Find all physicians in zip 99362 | |||
| City | WALLA WALLA |
| Zip Code | 99362 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WALLA WALLA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gary L Wade.
| 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.