PHILIP M. WADE (NPI# 1215977350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215977350 |
Entity Type | Individual |
Full Name | PHILIP M. WADE |
Credential | MD |
Practice Address |
2451 Fillingim St Mastin 617 Mobile AL 36617-2238 |
Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
Practice Telephone | 2514705842 |
Practice Fax Number | 2514705809 |
Mailing Telephone | 2514705842 |
Mailing Fax Number | 2514705809 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
9092 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04172511 | 05 | |
BLUE CROSS | 51524610 | 01 | |
AL | UNITED HEALTH CARE | 36-10278 | 01 |
Street Address |
2451 FILLINGIM ST MASTIN 617 |
City | MOBILE |
State | AL |
Zip Code | 36617-2238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396787230 | Thomas Wayne Butler | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-06-12 |
1982657755 | Connie D Uzel | Internal Medicine | 3719 Dauphin St Fl 5, Mobile, AL 36608-1753 | 2006-05-19 |
1780637579 | Thaddeus Beeker | Internal Medicine | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-05-19 |
1538112701 | Michael Wallace Meshad | Internal Medicine | 3719 Dauphin Street, 5th Floor, Mobile, AL 36608-1753 | 2006-05-18 |
1558353987 | Daniel G Cameron | Internal Medicine | 1660 Springhill Ave, Mobile, AL 36604-1405 | 2005-08-22 |
1487060489 | Kannan Thanikachalam | Internal Medicine | 1700 Spring Hill Ave, Mobile, AL 36604-1407 | 2014-07-10 |
1003255993 | Jose Nahun Galeas Soriano | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-06-24 |
1790098770 | Norma Carole Wiseman Norden | Internal Medicine | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2010-07-20 |
1114166139 | William Riley Taylor | Internal Medicine | 1660 Springhill Ave, Mobile, AL 36604-1405 | 2009-02-14 |
1720239932 | Infirmary West Oncology and Infusion Services | Internal Medicine | 3 Mobile Infirmary Circle, Suite 301, Mobile, AL 36607-3515 | 2008-10-07 |
Find all providers in MOBILE |
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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.