Robert C Wade, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102050072 Issued in VA

Practice address

1705 East Third Street
Farmville, VA 23901-1199

Phone

(434) 315-2998

Fax

(434) 315-2859

NPI assigned

Jan 6, 2006

Last updated

Sep 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drwade@longwoodphs.azalea.phimailbox.com

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.

• Potomac Healthcare Solutions, LLC

  • Health Service Clinic/Center
  • Woodbridge, VA
  • NPI 1477934727
  NPD
• CMH Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • South Hill, VA
  • NPI 1235300104
  NPD (past)
• CMH ER Physicians, LLC

  • Emergency Medicine Physician
  • South Hill, VA
  • NPI 1942263991
  NPD (past)
• Community Memorial Hospital

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1891014015
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1154309334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 EAST THIRD STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011199",
            "telephone_number": "434-315-2998",
            "fax_number": "434-315-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102050072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/MAMSI",
            "identifier": "2187324",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7393046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/SENTARA",
            "identifier": "10038282",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "35317",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "61459603",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Vickery, O.D.
• Harriet Taylor Vincent, FNP-BC
• Virginia CVS Pharmacy LLC (CVS Pharmacy#01559)
• Virginia Emergency Physicians LLP
• Virginia Youth Outreach Services, Inc.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1486)
• Wal-Mart Stores East, LP (Vision Center 30-1486)
• Walgreen Co (Walgreens #17429)
• Andrea Chanelle Walker, LPC
• Ronda L Walker, PH.D.

• Family Medicine Physician in Farmville, VA
• Providers in Farmville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.