Douglas A. Wadeson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2014-00247 Issued in NC

Practice address

212 S Salem St
Apex, NC 27502-1825

Phone

(919) 362-5201

Fax

(919) 387-5905

NPI assigned

Dec 16, 2005

Last updated

Dec 9, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1245216845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021825",
            "telephone_number": "919-362-5201",
            "fax_number": "919-387-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021825",
            "telephone_number": "919-362-5201",
            "fax_number": "919-387-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADESON",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2014-00247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377344200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080075531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Voca Corporation of North Carolina
• Voca Corporation of North Carolina
• Voca Corporation of North Carolina, Inc.
• Collin Vu, RPH, PHD
• W& I Sons LLC (Apex Pharmacy)
• Lisa Cole Wagner, MACCC/SLP
• Tess Kathleen Waibel
• Wake Counseling and Mediation, PLLC (Manpreet Lehal, NCC, LPC)
• Wake County Rehabilitation Hospital LLC (Peak Rehabilitation Hospital)
• Wake Emergency Physicians PA

• Family Medicine Physician in Apex, NC
• Providers in Apex, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.