DR. WILLIAM T. WADE (NPI# 1336125681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336125681 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM T. WADE |
| Credential | M.D. |
| Practice Address |
1791 Ashley Cir Bowling Green KY 42104-3339 |
| Practice Telephone | 2707814090 |
| Practice Fax Number | 2708423133 |
| Mailing Telephone | 2707814090 |
| Mailing Fax Number | 2708423133 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2010-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17928 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TAX ID# | 611356450 | 01 |
| KY | BLUE CROSS BLUE SHIELD | 0000053947 | 01 |
| KY | RAILROAD MEDICARE | CH4189 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609236991 | William Wade | Registered Nurse | 11730 Peachwood Lake Dr, Sugar Land, TX 77498-4652 | 2016-02-29 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1861623944 | William E Wade IIi | Family Medicine | 12 W Sherwood Dr, Saint Louis, MO 63114-5715 | 2009-08-06 |
| 1902393614 | William K Wade | Orthotist | 3004 Bienville Blvd, Ocean Springs, MS 39564-4370 | 2018-04-18 |
| 1003029075 | William Alexander Wade | Internal Medicine | 4619 Kanawha Ave., Sw, South Charleston, WV 25309 | 2007-05-07 |
| 1104948538 | William Todd Wade | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2007-04-05 |
| 1386660173 | William Wade | Nurse Anesthetist, Certified Registered | 311 N Clyde Morris Blvd, Daytona Beach, FL 32114-2781 | 2006-07-14 |
| 1437127214 | William Wade | Nurse Anesthetist, Certified Registered | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-03-09 |
| Street Address |
1791 ASHLEY CIR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538145172 | Charles L. Lovett Jr. | Family Medicine | 1791 Ashley Cir, Bowling Green, KY 42104-3339 | 2005-12-15 |
| 1750561346 | Bowling Green Medical Clinic | Family Medicine | 1791 Ashley Cir, Bowling Green, KY 42104-3339 | 2007-11-12 |
| 1235115585 | Stuart G. Yeoman | Internal Medicine | 1791 Ashley Cir, Bowling Green, KY 42104-3339 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1992180772 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave Ste B3, Bowling Green, KY 42101-1790 | 2015-07-22 |
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1063696003 | John C Tapp Md | Family Medicine | 414 Old Morgantown Rd, Bowling Green, KY 42101-2842 | 2007-12-27 |
| 1467650101 | Jennifer Imara Hayes-bethel | Family Medicine | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2007-07-03 |
| 1740407667 | Mcmd, Psc | Family Medicine | 1340 Ellis Place, Bowling Green, KY 42104 | 2007-04-20 |
| 1407972862 | E J Kuebeck Md Inc | Family Medicine | 1052 W Wooster St, Bowling Green, OH 43402 | 2007-03-21 |
| 1659419737 | Kevin D Dew | Family Medicine | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2007-02-02 |
| 1003994013 | William E Feeman Jr. | Family Medicine | 640 S Wintergarden Rd, Bowling Green, OH 43402-3544 | 2006-11-01 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
Please comment or provide details below to improve the information on DR. WILLIAM T. WADE.
| 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.