| Wade Family Medicine, Inc. | |
|
557 W 2600 S Bountiful UT 84010-7747 | |
| (801) 298-9155 | |
| (801) 298-9156 |
| Full Name | Wade Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 557 W 2600 S, Bountiful, Utah |
| Authorized Official Name and Position | Ralph D Wade (PRESIDENT) |
| Authorized Official Contact | 8012989155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wade Family Medicine, Inc. 557 W 2600 S Bountiful UT 84010-7747 Ph: (801) 298-9155 | Wade Family Medicine, Inc. 557 W 2600 S Bountiful UT 84010-7747 Ph: (801) 298-9155 |
| NPI Number | 1558597831 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 09/16/2009 |
| Medicare PECOS PAC ID | 4880740570 |
|---|---|
| Medicare Enrollment ID | O20090922000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558597831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 180211-1204 (Utah) | Primary |
| Provider Name | Ralph D Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256953 PECOS PAC ID: 9830104074 Enrollment ID: I20060209000409 |
| Provider Name | Debra J Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134228166 PECOS PAC ID: 4183623994 Enrollment ID: I20061205000269 |
| Provider Name | Sandra L Waite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699827014 PECOS PAC ID: 8921154576 Enrollment ID: I20090923000226 |
| Provider Name | Allison Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003080409 PECOS PAC ID: 4183762016 Enrollment ID: I20091112000447 |
| Provider Name | Niesha Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124549100 PECOS PAC ID: 5496026213 Enrollment ID: I20170811001966 |
| Provider Name | David Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134130131 PECOS PAC ID: 4486693215 Enrollment ID: I20190816002498 |
| Provider Name | Madison Brooke Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225626831 PECOS PAC ID: 1254736267 Enrollment ID: I20210827002938 |
Bryan Bartholomew Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Medical Dr, Suite 200, Bountiful, UT 84010 Phone: 801-294-9333 Fax: 801-299-7811 | |
Eln Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1480 Orchard Dr Ste 103, Bountiful, UT 84010 Phone: 866-612-7449 | |
Holbrook Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 E 500 S, Bountiful, UT 84010 Phone: 801-299-4800 | |
Joe R Nielsen Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Medical Dr, D-200, Bountiful, UT 84010 Phone: 801-292-6277 Fax: 801-292-1108 | |
Bountiful Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 W 400 N Ste 200b, Bountiful, UT 84010 Phone: 801-298-3812 Fax: 877-450-7813 | |
Wade Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 801-292-1422 Fax: 801-296-0436 | |
Aspen Physician Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 E 1650 S, Bountiful, UT 84010 Phone: 801-997-1276 |