Robert K Wade (NPI# 1114911054, PAC ID# 0143288555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1114911054 |
| PAC ID by PECOS | 0143288555 |
| Professional Enrollment ID | I20041230000432 |
| Full Name | Robert K Wade |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Address |
1499 Fair Rd Statesboro GA 30458-1683 |
| Phone Number | 9124861000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890781371 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110089 | COFFEE REGIONAL MEDICAL CENTER |
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 110124 | WAYNE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 163 E Tollison St, Baxley, GA 31513-0120 | 9123679841 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 9124667000 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1101 Ocilla Rd, Douglas, GA 31533-2207 | 9123841900 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 9123757781 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 865 S 1st St, Jesup, GA 31545-0210 | 9124276811 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 763 Old Norcross Rd, Lawrenceville, GA 30045-4317 | 6789852000 | SOUTHERN GASTROENTEROLOGY ASSOCIATES, LLC |
| 821 N Cobb St, Milledgeville, GA 31061-2343 | 4784543551 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 2000 Dan Proctor Dr, Saint Marys, GA 31558-3810 | 9125766200 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 459 Ga Hwy 119 S, Springfield, GA 31329-3021 | 91226126691205 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1499 Fair Rd, Statesboro, GA 30458-1683 | 9124861000 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 91226126691205 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 4783225155 | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Organization Legal Name | SOUTHEASTERN PATHOLOGY ASSOCIATES PC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yumi Angerica Kojima | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Janet O Hon | Pathology | Southeastern Pathology Associates PC | 801 Oak St, Green Cove Springs, FL 32043-4317 |
| Ningxing Chen | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| David A Holloman | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| James H Hudson | Pathology | Southeastern Pathology Associates PC | 203 Indigo Dr, Brunswick, GA 31525-6865 |
| Shyamala Yennam | Pathology | Southeastern Pathology Associates PC | 2415 Parkwood Dr, Brunswick, GA 31520-4722 |
| Tatiana Vasylievna Barsukova | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Gerson Paull | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Thuy L Penedo | Pathology | Southeastern Pathology Associates PC | 800 Prudential Dr, Jacksonville, FL 32207-8202 |
| Carolyn Kinzer Bezanson Wall | Pathology | Southeastern Pathology Associates PC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Street Address |
1499 FAIR RD |
| City | STATESBORO |
| State | GA |
| Zip | 30458-1683 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Landry Arseneault | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Jeffrey R Millard | Family Medicine | Statesboro Hma Physician Management LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Colin A Dodds | Diagnostic Radiology | East Georgia Radiology LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Stacy L Whitworth | Nurse Practitioner | Statesboro Hma Physician Management LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Clare D Heidler | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Wayne Ross Bryan | Internal Medicine | Statesboro Hma Physician Management LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Tristia Knight | Nurse Practitioner | Statesboro Hma Physician Management LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Jada A Lee | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| David J Derosso | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Hollie White | Certified Registered Nurse Anesthetist (crna) | Ams Southeast LLC | 1499 Fair Rd, Statesboro, GA 30458-1683 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Stacey C Basquin | Physician Assistant | East Georgia Hma Physician Management LLC | 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 | |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | PATHOLOGY |
| City + Specialty | STATESBORO + PATHOLOGY |
Please comment or provide details below to improve the information on Robert K Wade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.