Active NPI
Andrea L Wadley, MD
- Pediatrics Physician
- Colleyville, TX
National Provider Identifier
1306026182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N5465
- Practice address
- 33 Main St Ste 160
Colleyville, TX 76034 - Phone
- (817) 476-0675
- Fax
- (817) 207-4185
- NPI assigned
- Nov 8, 2007
- Last updated
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N5465 | TX | Primary |
Addresses
Primary practice location
33 Main St Ste 160
Colleyville, TX 76034
Mailing address
33 Main St Ste 160
Colleyville, TX 76034-2982
Phone (817) 476-0675
Other names 1
- Andrea L Zern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current | Accepting new patients |
| Wadley Pediatrics, PA | Pediatrics | Past | Accepting new patients |
Locations
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
Organizations & group practices 2
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.
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1306026182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MAIN ST STE 160",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760342982",
"telephone_number": "817-476-0675",
"fax_number": "817-207-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MAIN ST STE 160",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "76034",
"telephone_number": "817-476-0675",
"fax_number": "817-207-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLEY",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-08",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N5465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "ZERN",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.