Lawrence Durell Wade, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 03371R Issued in LA

Practice address

3060 Valley Creek Dr.
Suite C
Baton Rouge, LA 70808

Phone

(225) 928-3401

Fax

(225) 928-9724

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1285750182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 80780",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708980780",
            "telephone_number": "225-928-3401",
            "fax_number": "225-928-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 VALLEY CREEK DR.",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-928-3401",
            "fax_number": "225-928-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "LAWRENCE",
        "middle_name": "DURELL",
        "name_prefix": "Dr.",
        "credential": "M.D., LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD 03371R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318531",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Roger Waddill, M.D.
• Alex Gardner Wade, D.D.S.
• Heather Saunders Wade, PA-C
• James W Wade, MD
• Jarnisa D Wade, BSW, RSW
• Morgan Wade, CIT
• Shelette Wade
• Shirley Freeman Wade, FNP-C
• Trais D Wade
• Robert F Waggener, M.DIV, LCSW

• Psychiatry Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.