ROBERT ALAN WADE (NPI# 1154508380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154508380 |
| Entity Type | Individual |
| Full Name | ROBERT ALAN WADE |
| Credential | CRNP |
| Practice Address |
1412 Elba Hwy Troy AL 36079-6020 |
| Mailing Address |
1414 Elba Hwy Troy AL 36079-6020 |
| Practice Telephone | 3345668822 |
| Practice Fax Number | 3348088942 |
| Mailing Telephone | 3346706726 |
| Mailing Fax Number | 3346706731 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2018-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1070477 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF NURSING | 1-070477 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922242403 | Robert A Wade | Optometrist | 3101 E Cumberland Rd, Bluefield, WV 24701-4960 | 2009-04-28 |
| 1891980975 | Robert Tyson Wade | Counselor | 1 Freedom Way # 26, Augusta, GA 30904-6258 | 2007-09-11 |
| 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 |
| 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 |
1412 ELBA HWY |
| City | TROY |
| State | AL |
| Zip Code | 36079-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829643 | Griffith Guerry Walters | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-07-07 |
| 1295198687 | Amy E Brown | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-6020 | 2016-04-01 |
| 1902288731 | Troy Pharmacy, LLC | Pharmacy | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-06-29 |
| 1730568171 | Dana Baldo-downs Wade | Social Worker | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-05-19 |
| 1619391265 | Jefferson Edgington | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2014-02-18 |
| 1811251010 | Brandi Bowden Dowling | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2012-07-02 |
| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
| 1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1164432308 | Robert Lee Gilliam | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
| 1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
| 1255622593 | Iveri Guri Zhvania | Pharmacist | 115 Southland Vlg, Troy, AL 36079-3044 | 2011-04-20 |
| 1346359742 | Harco Inc | Durable Medical Equipment & Medical Supplies | 115 Southland Vlg, Troy, AL 36079-3044 | 2006-08-30 |
| 1609214949 | Trina Gould Thompson | Audiologist | 419 Jane Rd, Apt. 2, Troy, AL 36079-3052 | 2013-06-09 |
| 1487622932 | Shanna F May | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2006-03-10 |
| 1568088722 | Giselle Pacheco Childers | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2020-06-23 |
| 1003301664 | Haley Henson | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2018-06-26 |
| Find all providers in zip 36079 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035937 | Alysa Jesica Evans | Nurse Practitioner | Riverview Pediatrics, 315 2nd Ave, Troy, NY 12182 | 2020-08-31 |
| 1053784199 | Brianna Lynn Manica | Nurse Practitioner | 44201 Dequindre Rd., Ste. 400 Troy Beaumont Hospital, Troy, MI 48085 | 2015-11-12 |
| 1790947620 | Roger Wayne Kirk Jr. | Nurse Practitioner | 1340 Highway 231 S Ste 1, Troy, AL 36081-3012 | 2008-07-01 |
| 1285765875 | Shirley Maxine Saxton | Nurse Practitioner | 744 Clarendon Rd, Troy, OH 45373-1114 | 2007-03-08 |
| 1750754743 | Yusaman Shushtari Kadrich | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-11-12 |
| 1417217159 | Melissa Anne Gerling | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2012-05-28 |
| 1578873881 | Jennifer Catherine Mullett | Nurse Practitioner | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2010-10-20 |
| 1265421911 | Pamela A Altman | Nurse Practitioner | 258 Hoosick St, Suite 106, Troy, NY 12180-2427 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636038 | Samantha Thompson | Nurse Practitioner | 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 | 2020-10-14 |
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1033776612 | Erin Tracy Swing | Nurse Practitioner | 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 | 2019-05-20 |
| 1629531181 | Holley Lewis Collins | Nurse Practitioner | 1601 Center St Ste 1a, Mobile, AL 36604-1541 | 2019-04-11 |
| 1023591245 | Katherine Leigh Cassidy | Nurse Practitioner | 2001 Fieldstown Rd, Gardendale, AL 35071-4628 | 2018-09-13 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1740769801 | Amy Leigh Jenkins | Nurse Practitioner | 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 | 2018-08-09 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1184102931 | Molly Dixon Bolton | Nurse Practitioner | 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 | 2018-08-03 |
| 1760968580 | Gladys Cooks | Nurse Practitioner | 8517 Highlands Trce, Trussville, AL 35173-3815 | 2018-07-15 |
| 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.