DR. VINCE T WAKE M.D. NPI 1356472484

NPI Information

  • NPI: 1356472484
  • Provider Name: DR. VINCE T WAKE, M.D.
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4760 BELPAR ST NW
    CANTON, OH
    ZIP 44718
  • Phone: (330) 492-9200

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NPI Details

DR. Vince T Wake, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in Canton, OH with 24 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Vince T Wake, M.D. NPI is 1356472484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

4760 BELPAR ST NW
CANTON, OH
ZIP 44718-603
Phone: (330) 492-9200
Fax: (330) 492-5454

The NPI 1356472484 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Fusion of spine in lower back (HCPCS:22612)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Placement of stabilizing device to back, 3-6 spine bone segments (HCPCS:22842)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Fusion of additional segment of spine (HCPCS:22614)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Spinal fusion (HCPCS:NAN02)
  • Laminectomy or laminotomy (partial removal of spine bones) (HCPCS:NAN18)

The enumeration date for this NPI number is 3/8/2007 and was last updated on 4/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery35089257OHIONo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine35089257OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12890028MEDICAIDOHIO
2C810056MEDICARE PINCOLORADO
34245591MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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