JOHN PAUL WADE (NPI# 1679020606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679020606 |
| Entity Type | Individual |
| Full Name | JOHN PAUL WADE |
| Credential | PHARMD |
| Practice Address |
308 Coliseum Dr Suite 120 Macon GA 31217-3865 |
| Practice Telephone | 4787456130 |
| Mailing Telephone | 4787456130 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
RPH017321 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255688131 | John Browning Wade | Pharmacist | 148 Walnut Ln, Travelers Rest, SC 29690-1600 | 2012-08-09 |
| 1619021276 | John E Wade | Psychologist | 1956 E Whipp Rd, Kettering, OH 45440-2921 | 2007-01-22 |
| 1992886915 | John Gerrity Wade | Nurse Practitioner | 309 Nw 5th Street, Okeechobee, FL 34972 | 2006-10-17 |
| 1063504736 | John C Wade | Psychologist | University of Kansas, Counseling and Psych Services, 1200 Schwegler Drive, Lawrence, KS 66045-7559 | 2006-09-29 |
| 1699799692 | John F Wade IIi | Internal Medicine | 435 Aiport Blvd., Pensacola, FL 32503-7847 | 2006-07-26 |
| 1326087487 | John L Wade | Radiology | 688 Kinoole St Ste 103, Hilo, HI 96720-3868 | 2006-06-05 |
| 1346297330 | John S Wade | Colon & Rectal Surgery | 6067 N Fresno St, Suite 101, Fresno, CA 93710-5200 | 2006-05-27 |
| 1841282324 | John R. Wade | Optometrist | 1049 State Road 229, Batesville, IN 47006-6808 | 2005-08-19 |
| 1285162818 | John Wade | Behavior Technician | 640 Seminole Rd, Norton Shores, MI 49441-4720 | 2017-05-26 |
| 1124250626 | John M. Wade | Physical Therapist | 201 Sandpointe Ave, Suite 130, Santa Ana, CA 92707-5778 | 2009-08-17 |
| Street Address |
308 COLISEUM DR SUITE 120 |
| City | MACON |
| State | GA |
| Zip Code | 31217-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722850 | David E Kent | Dermatology | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3876 | 2005-07-07 |
| 1427597145 | Kelsi Dixon | Registered Nurse | 308 Coliseum Dr, Macon, GA 31217-3865 | 2017-02-14 |
| 1407234263 | Caitlin Elizabeth Eilers | Physician Assistant | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3865 | 2015-05-13 |
| 1497094676 | Kristen Whelchel | Pharmacist | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2013-02-07 |
| 1104165398 | Cassandra Michel Floyd | Pharmacist | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2013-02-07 |
| 1992058903 | Nsh Cancer Institute Professional Services G LLC | Pharmacy | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2012-10-16 |
| 1558612622 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2012-09-28 |
| 1881944759 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 308 Coliseum Dr, Suite 150, Macon, GA 31217-3865 | 2012-09-18 |
| 1124339338 | James Gerard Lennon | Internal Medicine | 308 Coliseum Dr, Suite 120, Macon, GA 31217-3865 | 2010-06-23 |
| 1790985463 | Todd M Williams | Nurse Practitioner | 308 Coliseum Dr, Suite 200, Macon, GA 31217-3865 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153585 | Rita Ilenre | Pharmacist | 194 Champion Way, Hiram, GA 30141-5247 | 2020-08-03 |
| 1114461571 | Donna Michelle Smith | Pharmacist | 162 Eastfield Ct, Alpharetta, GA 30005-7506 | 2016-12-05 |
| 1760939920 | Katherine Danyo | Pharmacist | 1581 Windsor Pkwy Ne, Brookhaven, GA 30319-2740 | 2016-09-06 |
| 1073919247 | James Lewis | Pharmacist | 805 Peachtree St Ne, #209, Atlanta, GA 30308-6009 | 2014-11-14 |
| 1740454198 | Allison Lindsay Boozer | Pharmacist | 630 Cobb Pkwy N, Ste A, Marietta, GA 30062-3372 | 2008-04-16 |
| 1497393268 | Stephanie Knight Ellis | Pharmacist | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2019-12-12 |
| 1801430749 | Adam Whitney Gates | Pharmacist | 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 | 2019-11-04 |
| 1457859365 | Kristina Hazard | Pharmacist | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2018-01-25 |
| 1063952752 | Kayla Randle | Pharmacist | 2400 Mount Zion Pkwy, Suite 116, Jonesboro, GA 30236-2500 | 2017-03-01 |
| 1063961852 | Yimegnushal Ahmed Ahmed | Pharmacist | 6300 Hospital Parkway, Duluth, GA 30097 | 2016-09-22 |
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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.