MR. ROBERT TYSON WADE (NPI# 1891980975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891980975 |
Entity Type | Individual |
Full Name | MR. ROBERT TYSON WADE |
Credential | MS. |
Practice Address |
1 Freedom Way # 26 Augusta GA 30904-6258 |
Practice Telephone | 7067330188 |
Practice Fax Number | 7067317190 |
Mailing Telephone | 7067330188 |
Mailing Fax Number | 7067317190 |
Enumeration Date | 2007-09-11 |
Last Update Date | 2007-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922242403 | Robert A Wade | Optometrist | 3101 E Cumberland Rd, Bluefield, WV 24701-4960 | 2009-04-28 |
1659329753 | Robert Stephen Wade | Pediatrics | 1118 Morningside Dr, Suite A, Perry, GA 31069-4948 | 2006-05-04 |
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 |
1 FREEDOM WAY # 26 |
City | AUGUSTA |
State | GA |
Zip Code | 30904-6258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457822348 | Cathy Mcelveen Billiter | Clinical Nurse Specialist | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2018-12-17 |
1346410669 | Georgia Lou Huff | Psychiatry & Neurology | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2008-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
Find all providers in zip 30904 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
1366078180 | Tony M Pushard | Counselor | 24 Stone St Ste 204, Augusta, ME 04330-5209 | 2020-03-13 |
1154956365 | Meghan E Hopper | Counselor | 24 Stone St Ste 203, Augusta, ME 04330-5209 | 2020-03-09 |
1932739117 | Nanci Dawn Porter | Counselor | 8 Summer St, Augusta, ME 04330-5129 | 2020-01-16 |
1932682200 | Douglas Paul Weaver Jr. | Counselor | 19 New England Rd, Augusta, ME 04330-0527 | 2018-09-12 |
1235626938 | Andrea Avery | Counselor | 24 Stone St Ste 101, Augusta, ME 04330-5209 | 2018-04-18 |
1962947374 | Kayla Turpin | Counselor | 218 S Spring St, Augusta, WI 54722-9385 | 2016-12-21 |
1831549211 | Melissa Ann Adams | Counselor | 9 Spruce St, Augusta, ME 04330-5213 | 2016-06-16 |
1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
Find all providers in AUGUSTA |
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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.