Dr. Jeffrey Darrell Wade
Specialist

Address: 3525 Independence Dr, Birmingham, AL 35209-5709
Phone: 2058026700

Dr. Jeffrey Darrell Wade (NPI# 1114967775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114967775
Entity Type Individual
Full Name Dr. Jeffrey Darrell Wade
Credential M. D.
Gender Male
Practice Address 3525 Independence Dr
Birmingham
AL 35209-5709
Practice Telephone 2058026700
Practice Fax Number 2058026701
Mailing Address 3525 Independence Dr
Birmingham
AL 35209-5709
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-08
Last Update Date 2009-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 174400000X Specialist Other Service Providers 15806 AL

Other Providers JEFFREY WADE

NPI Name Taxonomy Address Enumeration
1073023982 Jeffrey Wade Case Manager/Care Coordinator 104 E Haven Ct, Kathleen, GA 31047-3113 2017-10-05
1134219447 Jeffrey Scott Wade Optometrist 4024 Elkhart Rd Ste 23, Goshen, IN 46526-5803 2006-10-15
1093773616 Jeffrey F Wade Emergency Medicine 801 E Walnut St Apt 1403, Pasadena, CA 91101-5606 2006-05-03
1649286592 Jeffrey Wade Technician, Other 5965 S 900 E, Murray, UT 84121-1720 2006-07-31
1679517833 Jeffrey Trent Wade Radiology 490 Dunlop Ln, Clarksville, TN 37040-5007 2006-06-16

Physician Overview

NPI 1114967775
PAC ID by PECOS 5395719835
Professional Enrollment ID I20100907000809
Full Name Jeffrey Wade
Organization Legal Name ALABAMA ORTHOPAEDIC CENTER, P.C.
Phone Number 2054818675
Gender M
Medical School UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 1990
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 2769456201
Number of Group Practice Members 8
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
010139 BROOKWOOD BAPTIST MEDICAL CENTER
010089 WALKER BAPTIST MEDICAL CENTER

Office Location

Street Address 3525 INDEPENDENCE DR
City BIRMINGHAM
State AL
Zip Code 35209-5709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649241159 Alabama Orthopaedic Center, P.C. Specialist 3525 Independence Dr, Birmingham, AL 35209-5709 2006-02-01
1891276788 Spine Group Alabama, LLC Physical Medicine & Rehabilitation 3525 Independence Dr, Birmingham, AL 35209-5709 2018-08-28
1477935104 Robert G Sorrell Md PC Orthopaedic Surgery 3525 Independence Dr, Birmingham, AL 35209-5709 2015-06-18
1174863963 Kendra Reynolds Registered Nurse 3525 Independence Dr, Birmingham, AL 35209-5709 2013-02-15
1285771949 Michael Anthony Rankins Physician Assistant 3525 Independence Dr, Birmingham, AL 35209-5709 2007-01-31
1003953662 Gregory Howard Houston Physician Assistant 3525 Independence Dr, Birmingham, AL 35209-5709 2007-01-31
1588744817 Carden H Cole Physical Therapist 3525 Independence Dr, Birmingham, AL 35209-5709 2006-10-17
1417054065 Charles Brian Davis Specialist/Technologist 3525 Independence Dr, Birmingham, AL 35209-5709 2006-09-17
1437261484 Christy Zarzaur Nurse Practitioner 3525 Independence Dr, Birmingham, AL 35209-5709 2006-08-31
1215945464 Amy L Prewitt Physical Therapist 3525 Independence Dr, Birmingham, AL 35209-5709 2006-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093284457 Patriot Healthcare of Alabama, LLC Family Medicine 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 2018-11-15
1164902268 Lucy Johnston Student in an Organized Health Care Education/Training Program 1602 Woodfern Dr, Homewood, AL 35209 2018-08-17
1881184646 Wade Louis Grady Specialist/Technologist 800 Larkshore Drive, Birmingham, AL 35209 2018-05-16
1154823029 Taylor Payne Physical Medicine & Rehabilitation 109 Devon Dr, Birmingham, AL 35209 2018-03-06
1861900698 Lab Works, LLC Clinical Medical Laboratory 490 Wildwood North Cir Ste 110d, Birmingham, AL 35209 2018-01-15
1396251542 1st America Infusion Services LLC Durable Medical Equipment & Medical Supplies 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 2017-12-26
1376060954 Hannah Holloway Specialist/Technologist 725 Crest Lane, Birmingham, AL 35209 2017-08-24
1558887463 Paul A Rhodes Nurse Practitioner 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 2017-08-22
1538542196 Proteus Molecular and Clinical Lab LLC Clinical Medical Laboratory 218 Summit Pkwy, Suite 250, Homewood, AL 35209 2015-07-01
1124407739 Randall Alban Nurse Practitioner 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 2015-05-28
Find all providers in zip 35209

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164994752 Vituro Health of The Northeast Specialist 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 2018-12-20
1356889547 David Perry Specialist 3208 Colony Park Dr, Birmingham, AL 35243-2396 2017-02-07
1316481294 Elite Imaging, LLC Specialist 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 2016-12-12
1174076640 Tracy Denise Gulley Specialist 1005 Garrett Dr, Birmingham, AL 35235-1422 2016-08-01
1497122931 Ihab Nader Tawfik Atallah Specialist Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 2015-09-01
1568852572 Brittney Bass-gray Specialist 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 2015-01-28
1700280773 Implantable Supplies Specialist 605 Queens Gate, Birmingham, AL 35242-7221 2014-10-20
1083031975 Timothy Connolly Specialist 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 2014-03-28
1710226329 Charles Peter Diliberti Specialist 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 2013-02-04
1235440918 Daniel Mason Avery IIi Specialist 817 Princeton Avenue, Building 2, Suite 108, Birmingham, AL 35211-3521 2010-06-28
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35209

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Dataset Information

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.

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