ROBERT STEPHEN WADE (NPI# 1659329753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659329753 |
Entity Type | Individual |
Full Name | ROBERT STEPHEN WADE |
Credential | M.D. |
Practice Address |
1118 Morningside Dr Suite A Perry GA 31069-4948 |
Mailing Address |
233 N Houston Rd Suite 140-h Warner Robins GA 31093-3074 |
Practice Telephone | 4789882205 |
Practice Fax Number | 4789882201 |
Mailing Telephone | 4789233360 |
Mailing Fax Number | 4789239977 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2008-07-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 031350 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00377836D | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922242403 | Robert A Wade | Optometrist | 3101 E Cumberland Rd, Bluefield, WV 24701-4960 | 2009-04-28 |
1891980975 | Robert Tyson Wade | Counselor | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2007-09-11 |
1154309334 | Robert C Wade | Family Medicine | 1705 East Third Street, Farmville, VA 23901-1199 | 2006-01-06 |
1306834049 | Robert Thomas Wade | Dentist | 12119 Stratford Dr, Clive, IA 50325-8166 | 2005-10-06 |
1295226405 | Robert Mark Wade | Social Worker | 744 Tell St, Athens, TN 37303-3148 | 2018-05-23 |
1972983245 | Robert Wade Jr. | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2015-06-02 |
1437396710 | Robert Wade | Massage Therapist | 203 14th Ave E, Seattle, WA 98112-5223 | 2009-01-08 |
1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
1982804605 | Robert Brian Wade | Chiropractor | 500 N Washington St Ste 3, Weatherford, OK 73096-5700 | 2007-07-20 |
1699849737 | Robert Wade | Social Worker | 365 Montauk Ave, New London, CT 06320-4700 | 2006-11-20 |
Street Address |
1118 MORNINGSIDE DR SUITE A |
City | PERRY |
State | GA |
Zip Code | 31069-4948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457703175 | Macon Orthopaedic & Hand Center Pa | Orthopaedic Surgery | 1118 Morningside Dr, Suite B, Perry, GA 31069-4948 | 2016-07-06 |
1326225723 | Jonathan Velasquez, Md, PC | Internal Medicine | 1118 Morningside Dr, Suite A, Perry, GA 31069-4948 | 2008-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
Find all providers in zip 31069 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285689778 | Larry D. Stewart Jr. | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2006-05-23 |
1205894425 | Ronald Emerick Jr. | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-05-04 |
1114410974 | Cornerstone Medical Management LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2018-06-07 |
1811290810 | Veera Venkata S Babu Paturi | Pediatrics | 315 E Ash St, 1, Perry, FL 32347-2029 | 2010-12-13 |
1669700811 | Venette Pierre | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-11-30 |
1376784702 | Little Pine Pediatrics, Pllc | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2009-03-16 |
1417046160 | Levette Nicole Dunbar | Pediatrics | 1702 S Jefferson St, Perry, FL 32348-5611 | 2006-10-12 |
1275575888 | Cornerstone Medical Assoc., LLC | Pediatrics | 1024 Keith Dr, Perry, GA 31069-2947 | 2006-06-11 |
1710977160 | Ray Tojino Bobila | Pediatrics | 315 E Ash St, Perry, FL 32347-2029 | 2005-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063025690 | Sas Medical LLC | Pediatrics | 8601 Dunwoody Pl Ste 565, Sandy Springs, GA 30350-2519 | 2020-08-24 |
1467063248 | Kindercare Pediatrics of Georgia | Pediatrics | 174 Royal Oak Dr, Guyton, GA 31312-5624 | 2020-08-13 |
1649880667 | Grayson Pediatrics Mobile | Pediatrics | 297 Cooper Rd Ste B, Loganville, GA 30052-2518 | 2020-08-04 |
1134745953 | Molly C Shields | Pediatrics | Dugas Building Bg 107 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-17 |
1033734918 | Lauren Wooten Smith | Pediatrics | Chog Pediatric Residency Program 1120 15th Street, Augusta, GA 30912-0001 | 2020-06-16 |
1225667314 | Moyosore Mary Abere | Pediatrics | 104 Bluff Chase, Bonaire, GA 31005-3867 | 2020-04-02 |
1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
1356988455 | Maura Mchugh Barrett | Pediatrics | 1805 Parke Plaza Cir Ste 103, Stone Mountain, GA 30087-3646 | 2019-12-08 |
1629614060 | Kaley Adams | Pediatrics | 227 Torrington Blvd, Thomasville, GA 31757-3904 | 2019-11-20 |
1164066791 | Holly Savino | Pediatrics | 603 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4315 | 2019-11-06 |
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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.