Patricia Tanya Wade MD, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PATRICIA TANYA WADE MD, LLC

Practice address

2301 N University Dr
Suite 207
Pembroke Pines, FL 33024-3617

Phone

(954) 965-1119

Fax

(954) 965-0119

NPI assigned

Nov 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Wade-Gibbs, M.DNPI 1689870727

Title

Owner

Phone

(954) 965-1119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Wade-Gibbs, M.D.

  • Pulmonary Disease Physician
  • Pembroke Pines, FL
  • NPI 1689870727
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1043490881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823902",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33082",
            "telephone_number": "954-965-1119",
            "fax_number": "954-965-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N UNIVERSITY DR",
            "address_2": "SUITE 207",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243617",
            "telephone_number": "954-965-1119",
            "fax_number": "954-965-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA TANYA WADE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "WADE-GIBBS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-965-1119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathology Consultants of South Broward, LLP
• Carlos A Patino, MD
• Patricia Gonzalez Templeton D.D.S, LLC
• Patricia Katz,LCSW PA
• Patricia M. Jaquez, DMD PA
• Patricio Therapy
• Patricio Therapy
• Patriot Discount Pharmacy
• Andres Patron, D.O.
• Roxana Patterson

• Pulmonary Disease Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.