JAMES L WADE III (NPI# 1992774459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992774459 |
| Entity Type | Individual |
| Full Name | JAMES L WADE III |
| Credential | M.D. |
| Practice Address |
210 W. Mckinley Ave Ste 1 Decatur IL 62526 |
| Mailing Address |
Po Box 25228 Decatur IL 62525-5228 |
| Practice Telephone | 2178766600 |
| Practice Fax Number | 2178766606 |
| Mailing Telephone | 2178779442 |
| Mailing Fax Number | 2172331670 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2014-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
036059192 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036059192 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326605114 | James Harrison Wade | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Anes Residency, 980695, 1250 E. Marshall Street, Richmond, VA 23298-0695 | 2019-05-28 |
| 1144524489 | James B Wade | Family Medicine | 3413 Brookside Dr, Hood River, OR 97031-8537 | 2010-12-30 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| 1639223464 | James David Wade | Nurse Anesthetist, Certified Registered | 35 Albany Rd Ste C, Carbondale, IL 62903-7605 | 2007-01-22 |
| 1295808863 | James W Wade | Surgery | 5233 Dijon Drive, Baton Rouge, LA 70817 | 2006-11-15 |
| 1942296652 | James Meron Wade | Otolaryngology | 176 Valley St Nw, Abingdon, VA 24210-2836 | 2005-09-27 |
| 1386640399 | James P Wade | Family Medicine | 3701 Memorial Dr, Belleville, IL 62226-5412 | 2005-06-23 |
| 1326433343 | James Nolan Wade II | Social Worker | 1180 Old Jackson Rd, Farmington, MO 63640 | 2015-04-06 |
| 1851631212 | James David Wade | Counselor | 106 Forrest Ave, Cartersville, GA 30120-3614 | 2013-02-22 |
| 1548526486 | James H Wade | Counselor | 2145 Centennial Plz, Eugene, OR 97401-2421 | 2012-04-04 |
| Street Address |
210 W. MCKINLEY AVE STE 1 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316950033 | Dolores A Estrada | Internal Medicine | 210 W. Mckinley Ave, Suite 1, Decatur, IL 62526 | 2006-08-14 |
| 1366467755 | Kristi M Toennies | Nurse Practitioner | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-07-13 |
| 1790748119 | Edward C Elliott II | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-04-07 |
| 1700846664 | Mary Anne Depaz | Radiology | 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023025434 | Naveen Thomas Lobo | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2006-08-01 |
| 1861797920 | Cancer Care Center PC | Internal Medicine | 1310 14th Ave Se, Decatur, AL 35601-4347 | 2011-01-21 |
| 1720200504 | Haig Yardumian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-05-02 |
| 1801911334 | Hagop Youssoufian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-03-21 |
| 1245309541 | Emiliana Sandiego | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-11-08 |
| 1073604245 | Zeba Aziz | Internal Medicine | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-09-27 |
| 1790748119 | Edward C Elliott II | Internal Medicine | 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526 | 2006-04-07 |
| 1326007782 | Mario R Velasco | Internal Medicine | 210 W Mckinley Ave, Suite 1, Decatur, IL 62526 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831647205 | Marcelo Rocha De Sousa Cruz | Internal Medicine | 233 East Superior Street, 1st Floor, Chicago, IL 60611 | 2016-09-14 |
| 1720426513 | Michael John Jelinek | Internal Medicine | 1725 W Harrison St Ste 809, Chicago, IL 60612-3861 | 2013-06-13 |
| 1265696348 | Sunandana Chandra | Internal Medicine | 645 N. Michigan Avenue, Suite 1006, Chicago, IL 60611 | 2008-07-17 |
| 1033318043 | John Charles Brooks | Internal Medicine | 753 Brookwood Ter # 5, Olympia Fields, IL 60461-1543 | 2007-07-11 |
| 1598819575 | Sabet Siddiqui | Internal Medicine | 9 Health Services Dr Ste 5, Dekalb, IL 60115-9601 | 2007-01-23 |
| 1417011529 | Alicia Katherine Morgans | Internal Medicine | 676 N Saint Clair St Fl 21, Chicago, IL 60611-2927 | 2006-12-21 |
| 1629166442 | Matthew Eric Adess | Internal Medicine | 757 Park Ave W, Highland Park, IL 60035-2556 | 2006-10-10 |
| 1629164678 | Justin D Floyd | Internal Medicine | 13 Wolf Creek Dr, Suite 1, Swansea, IL 62226-2367 | 2006-10-05 |
| 1356441943 | Osvaldo H Wesly | Internal Medicine | 105 S. Amos Ave, Springfield, IL 62704 | 2006-09-23 |
| 1467467803 | Mid-illinois Hematology Oncology Associates Ltd | Internal Medicine | 407 E Vernon Ave Ste 104, Normal, IL 61761-3813 | 2006-07-31 |
| 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.