WADE ETHEREDGE MD – NPI #1801854500
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

WADE ETHEREDGE is a physician located in ROUND ROCK, TX. NPPES has assigned the NPI number 1801854500 to WADE ETHEREDGE on May 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 16 years ago on May 13, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WADE ETHEREDGE below.

NPI Profile for
WADE ETHEREDGE

NPI Number
1801854500
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WADE ETHEREDGE
Credentials
MD
Primary location
2400 ROUND ROCK AVE
ROUND ROCK, TX 78681-4004
Phone: (512) 341-1000 Fax:
Mailing address
5607 LANDS END ST
AUSTIN, TX 78734-1515
Phone: (512) 266-2480 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for WADE ETHEREDGE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX104414104
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
TX J1992
207P00000X
- Emergency Medicine
TX J1992

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.