James Sidney Wade Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

012776 Issued in LA

Practice address

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917

Phone

(337) 289-2000

NPI assigned

Mar 29, 2006

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acadiana Psychiatric Solutions LLC

  dba AXIS Behavioral Health and Recovery

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1275926230
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1083675177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHANNON RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033511",
            "telephone_number": "337-981-5372",
            "fax_number": "337-989-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086917",
            "telephone_number": "337-289-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JAMES",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "012776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volunteers of America, GBR., Inc.
• Eric Nathaniel Vondenstein, D.D.S.
• Lorin Voorhies, LPC
• Stephanie Hai Vu, DDS
• Ruud Vuijsters, PT
• Wael Alabdulkarim, MD, Apmc
• Ashleigh Elizabeth Wagley, MS-CCC-SLP
• Stanislaus Jean Waguespack, D.D.S.
• Wal-Mart Louisiana, LLC (Vision Center 30-2938)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0531)

• Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.