JEFFREY TRENT WADE (NPI# 1679517833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679517833 |
| Entity Type | Individual |
| Full Name | JEFFREY TRENT WADE |
| Credential | MD |
| Practice Address |
490 Dunlop Ln Clarksville TN 37040-5007 |
| Mailing Address |
P.o. Box 3799 Clarksville TN 37043 |
| Practice Telephone | 9312458622 |
| Practice Fax Number | 9312458663 |
| Mailing Telephone | 9312457094 |
| Mailing Fax Number | 9312457069 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
33993 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q004457 | 05 | |
| TN | 3850596 | 05 |
| 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 |
| 1114967775 | Jeffrey Darrell Wade | Specialist | 3686 Grandview Pkwy Ste 510, Birmingham, AL 35243-3509 | 2006-06-08 |
| 1093773616 | Jeffrey F Wade | Specialist | 801 E Walnut St Apt 1403, Pasadena, CA 91101-5606 | 2006-05-03 |
| Street Address |
490 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718264 | Stacey L Binkley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2005-05-23 |
| 1063010106 | Jamie Renae Tolley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2020-10-12 |
| 1760944847 | Wendi-jo Lewis | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2019-04-05 |
| 1013489467 | Brittney Wilkinson Lesser | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2018-12-26 |
| 1215468541 | Adebukola Ajagunna | Pediatrics | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-27 |
| 1568993335 | Sayanna Garcia | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-23 |
| 1033655964 | Valerie Knight | Registered Nurse | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-01-17 |
| 1942757042 | Jennifer Marie Cooke | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-09-06 |
| 1053775262 | Kwame Frimpong | Family Medicine | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-04-13 |
| 1518327337 | Denise Oram | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2016-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548813793 | Medcom Imaging, Inc. | Radiology | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-07-17 |
| 1750671798 | Douglas D. Snodgrass | Radiology | 208 Hutchins Camp Trce, Clarksville, TN 37043-1058 | 2011-04-11 |
| 1104860857 | Bedford Radiology, Pllc | Radiology | 2257 Wilma Rudolph Blvd, Suite D, Clarksville, TN 37040-6194 | 2006-06-15 |
| 1053302489 | Norman A Scarborough | Radiology | 2831 Wilma Rudolph Blvd, Clarksville, TN 37040-5002 | 2005-11-03 |
| 1518957281 | Anna Victoria Morales | Radiology | 6923 Westcott Pl, Clarksville, MD 21029-1710 | 2005-10-25 |
| 1477093441 | Janine Hughes | Radiology | 6030 Daybreak Cir, A150, Clarksville, MD 21029-1642 | 2017-02-24 |
| 1437313202 | Kevin Scott Preston | Radiology | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2008-07-10 |
| 1831293497 | Patricia L. Verhulst | Radiology | 2831 Wilma Rudolph Blvd, Clarksville, TN 37040-5002 | 2006-09-12 |
| 1598727042 | Loy Allen Forsythe | Radiology | 651 Dunlop Ln, Suite 530, Clarksville, TN 37040-5015 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1407373053 | Association of University Radiologists, PC | Radiology | 5779 Creekwood Park Blvd Ste 130, Lenoir City, TN 37772-1203 | 2017-08-24 |
| 1023481090 | Richard Sanders | Radiology | 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 | 2015-11-12 |
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.