JUSTIN G WADE MD NPI 1467539676

NPI Information

NPI: 1467539676
Provider Name: JUSTIN G WADE, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
29520 CANVASBACK DR
EASTON, MD
ZIP 21601
Phone: (410) 822-5007
Get Directions

Justin G Wade, MD is a child and adolescent psychiatry psychiatry neurology in Easton, MD with 17 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Justin G Wade, MD NPI is 1467539676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2007

The provider's business location address is:

29520 CANVASBACK DR
EASTON, MD
ZIP 21601-124
Phone: (410) 822-5007
Fax: (410) 822-5569

The NPI 1467539676 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 enumeration date for this NPI number is 11/1/2006 and was last updated on 8/28/2017.

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
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	D0066569	MARYLAND	Yes

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
1	LM49EA	OTHER	MARYLAND	CAREFIRST BCBS
2	609550004	MEDICAID	MARYLAND
3	609550002	MEDICAID	MARYLAND
4	742L	MEDICARE PIN	MARYLAND
5	259147-000	OTHER	MARYLAND	MAGELLAN
6	609550001	MEDICAID	MARYLAND
7	517251	OTHER	MARYLAND	UBH
8	522156095	OTHER	MARYLAND	COMMERCIAL INSURANCE
9	346646	OTHER	MARYLAND	MHN
10	R968	OTHER	MARYLAND	CAREFIRST BCBS-FEDERAL

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: 5/5/2024

NPI Synchronization or Removal

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