MEDICARE: EDWARD WADE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0420102	KS
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	0420102	KS
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	0420102	KS
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	0420102	KS

General Provider Information

NPI Number	:	1285602045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD WADE MD

Provider Business Mailing Address
First Line	:	PO BOX 1148
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67201-1148
Country	:	US
Telephone Number	:	316-685-3698
Fax Number	:	316-652-0340

Provider Business Practice Location Address
First Line	:	10014 W GREENSPOINT ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67205-1581
Country	:	US
Telephone Number	:	316-946-5980
Fax Number	:	316-652-0340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	09/11/2025

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Directions to “ EDWARD WADE MD” Practice Location

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