MS. MARY CELESTE WADE (NPI# 1902077415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902077415 |
| Entity Type | Individual |
| Full Name | MS. MARY CELESTE WADE |
| Credential | RT |
| Practice Address |
1029 Travelers Trl Nw Kennesaw GA 30144-2870 |
| Practice Telephone | 7704281026 |
| Mailing Telephone | 7704281026 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
0120005300 | VA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231380 | Mary Wade | Home Health Aide | 175 Edgevale St, Detroit, MI 48203-5241 | 2015-12-22 |
| 1134422553 | Mary Iva Wade | Licensed Practical Nurse | 7 East Cove Ave, Wheeling, WV 26003 | 2010-12-07 |
| 1457673766 | Mary Beth Wade | Licensed Practical Nurse | 5672 Lynx Dr, Westerville, OH 43081-5203 | 2010-02-28 |
| 1750919130 | Mary Elizabeth Wade | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave, Norfolk, VA 23507-1912 | 2020-03-31 |
| 1740689769 | Mary Wade | Non-emergency Medical Transport (VAN) | 329 W Franklin St, Goliad, TX 77963-4172 | 2014-08-14 |
| 1932520178 | Mary Wade | Developmental Therapist | 500 E 3rd St, Russellville, AR 72801-5204 | 2013-12-13 |
| 1740617380 | Mary Kim Wade | Pharmacist | 13150 Central Ave Se, Albuquerque, NM 87123-3032 | 2013-09-27 |
| 1699071738 | Mary K Wade | Occupational Therapist | 1 Alden Ave, Augusta, ME 04330-6185 | 2011-02-08 |
| 1609072024 | Mary L Wade | Registered Nurse | 3155 Royal Drive, Suite 125 North Fulton Regional Health Center, Alpharetta, GA 30022 | 2007-06-22 |
| 1245357649 | Mary Lorena Wade | Family Medicine | 6 Brooklet St, Asheville, NC 28801-4505 | 2007-03-23 |
| Street Address |
1029 TRAVELERS TRL NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432267 | Amira Karriem | Radiologic Technologist | 256 Valley View Cir, Dallas, GA 30132-9806 | 2019-08-12 |
| 1568655991 | Monique Fawn Towns | Radiologic Technologist | 3703 Brightwater Dr, Douglasville, GA 30135-3011 | 2007-08-20 |
| 1265639504 | Stephen Jay Tarr | Radiologic Technologist | 200 Arizona Ave Ne, Suite 200, Atlanta, GA 30307-2299 | 2007-06-29 |
| 1760527766 | Jamie S Carpenter | Radiologic Technologist | 113 Fairview Park Dr # A, Dublin, GA 31021-2501 | 2007-02-20 |
| 1801947387 | Michelle Amanda Stringfield | Radiologic Technologist | 3974 Annistown Rd Ste 304, Snellville, GA 30039-8468 | 2007-01-13 |
| 1144670340 | Zipporaha Sherette Gober | Radiologic Technologist | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 | 2016-06-17 |
| 1316340870 | Alan Jurisich | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-29 |
| 1710388731 | April Boecker | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1881095891 | Libby Gardner | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| 1134520141 | Kristy Brady | Radiologic Technologist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
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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.