Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikala Wade

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1518647312

Mikala Wade is a Sports Medicine (Preventive Medicine) Physician in Beech Grove, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

212 S 12th Ave
Beech Grove, IN 46107-1717
Phone: (317) 724-3228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence 1230965914 (IN)

Record details

NPI number1518647312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address212 S 12th Ave, Beech Grove, IN 46107-1717