Tiffany R Wade (NPI# 1225520505, PAC ID# 6406103316) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225520505 |
| PAC ID by PECOS | 6406103316 |
| Professional Enrollment ID | I20180724002359 |
| Full Name | Tiffany R Wade |
| Organization Legal Name | POPPY DRIVE INPATIENT SERVICES PLLC |
| Address |
12505 Lebanon Rd Frisco TX 75035-8298 |
| Phone Number | 9729633333 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2163652009 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450885 | BAYLOR SCOTT AND WHITE MEDICAL CENTER CENTENNIAL |
| Address | Phone | Organization |
|---|---|---|
| 9440 Poppy Dr, Dallas, TX 75218-3652 | 2143246100 | POPPY DRIVE INPATIENT SERVICES PLLC |
| 12505 Lebanon Rd, Frisco, TX 75035-8298 | 9729633333 | POPPY DRIVE INPATIENT SERVICES PLLC |
| Organization Legal Name | POPPY DRIVE INPATIENT SERVICES PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suresh N Belame | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Monicah W Gichinga Mugwe | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Poornima Chadalawada | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Ramya R Kedika | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Mustafa Sardini | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Munaimaa Rehmaan | Internal Medicine | Poppy Drive Inpatient Services Pllc | 231 S Collins Rd, Sunnyvale, TX 75182-4624 |
| Sylaza Kantamneni | Internal Medicine | Poppy Drive Inpatient Services Pllc | 9440 Poppy Dr, Dallas, TX 75218-3652 |
| Krista A Joseph | Internal Medicine | Poppy Drive Inpatient Services Pllc | 10655 Steepletop Dr, Houston, TX 77065-4222 |
| Street Address |
12505 LEBANON RD |
| City | FRISCO |
| State | TX |
| Zip | 75035-8298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Adams Jr. | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Essam Elsayed | Nephrology | Healthtexas Provider Network | 12505 Lebanon Rd, Suite 1442, Frisco, TX 75035-8298 |
| Craig R Brockman II | Emergency Medicine | Innovative Emergency Medicine Pa | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Jeffrey D Diebner | Diagnostic Radiology | Texas Radiology Associates LLP | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Aimee L Nguyen | Obstetrics/gynecology | 12505 Lebanon Rd, Frisco, TX 75035-8298 | |
| Christopher A Leone | Internal Medicine | Healthtexas Provider Network | 12505 Lebanon Rd, Suite 1442, Frisco, TX 75035-8298 |
| Eric H Benson | Diagnostic Radiology | Texas Radiology Associates LLP | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Key A Vaquera | Pulmonary Disease | Healthtexas Provider Network | 12505 Lebanon Rd, Suite 1442, Frisco, TX 75035-8298 |
| Kirk Elias Leblanc | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Neel B Varma | Diagnostic Radiology | Texas Radiology Associates LLP | 12505 Lebanon Rd, Frisco, TX 75035-8298 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srivasa B Chebrolu | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Jun Chen | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Nandana Mapakshi | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Eric C Berg | Anesthesiology | Allen Anesthesia Associates | 4401 Coit Rd, Suite 100, Frisco, TX 75035-0501 |
| James D Crowson | Certified Registered Nurse Anesthetist (crna) | Allen Anesthesia Associates | 4401 Coit Rd, Suite 100, Frisco, TX 75035-0501 |
| Alan M Greenberg | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Elise Michelle Harper | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Phyllis J Gee | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Arminda Callejas Weintz | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Tracy Haymann Elliott | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Find all physicians in zip 75035 | |||
| City | FRISCO |
| Zip Code | 75035 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FRISCO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tiffany R 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.