DR. JEFFREY DARRELL WADE (NPI# 1114967775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967775 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DARRELL WADE |
| Credential | M. D. |
| Practice Address |
3686 Grandview Pkwy Ste 510 Birmingham AL 35243-3509 |
| Practice Telephone | 2059711750 |
| Mailing Telephone | 2059711750 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15806 | AL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023982 | Jeffrey Wade | Case Manager/Care Coordinator | 104 E Haven Ct, Kathleen, GA 31047-3113 | 2017-10-05 |
| 1134219447 | Jeffrey Scott Wade | Optometrist | 4024 Elkhart Rd Ste 23, Goshen, IN 46526-5803 | 2006-10-15 |
| 1649286592 | Jeffrey Wade | Counselor | 8221 S 700 E, Sandy, UT 84070-0507 | 2006-07-31 |
| 1093773616 | Jeffrey F Wade | Specialist | 801 E Walnut St Apt 1403, Pasadena, CA 91101-5606 | 2006-05-03 |
| 1679517833 | Jeffrey Trent Wade | Radiology | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2006-06-16 |
| Street Address |
3686 GRANDVIEW PKWY STE 510 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35243-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574839 | Allyson Brudi | Nurse Practitioner | 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243-3509 | 2018-10-17 |
| 1285771949 | Michael Anthony Rankins | Physician Assistant | 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243-3509 | 2007-01-31 |
| 1003953662 | Gregory Howard Houston | Physician Assistant | 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243-3509 | 2007-01-31 |
| 1487694188 | Robert Scott Wolf | Specialist | 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243-3509 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35243 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.