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MIKALA WADE
NPI 1518647312
Preventive Medicine - Sports Medicine in Beech Grove, IN

Active since July 18, 2023
212 S 12TH AVE, BEECH GROVE, IN 46107(317) 724-3228 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mikala Wade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKALA WADE (NPI 1518647312) is an individual sports medicine provider in Beech Grove, Indiana, licensed in Indiana (1230965914) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1518647312
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameMIKALA WADE
Location Address212 S 12TH AVEBeech Grove, IN 46107-1717
Mailing Address212 S 12th AveBeech Grove, IN 46107-1717 · (317) 724-3228
Phone(317) 724-3228
Sole ProprietorYes
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1518647312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in IN · 1230965914
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
212 S 12TH AVE, Beech Grove, IN 46107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikala Wade's NPI number?

The NPI number for Mikala Wade is 1518647312. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Mikala Wade located?

Mikala Wade practices at 212 S 12th Ave, Beech Grove, IN 46107. The listed phone number is (317) 724-3228.

What is Mikala Wade's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Mikala Wade was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.