Larren Wade, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101054025 Issued in VA

Practice address

5194 Dawes Ave
Larren Wade MD Internal Medicine
Alexandria, VA 22311

Phone

(703) 671-9530

Fax

(703) 671-0331

NPI assigned

Nov 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Dominion Urgent Care Center LLC

  • Internal Medicine Physician
  • Springfield, VA
  • NPI 1689803207
  NPD (past)
• New Stress Clinic Inc

  • Community/Behavioral Health Agency
  • Alexandria, VA
  • NPI 1033455803
  NPD (past)
• Umc Holdings, Inc

  dba Inova Urgent Care Center

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1609955905
  NPD (past)
• Medlantic Healthcare Group

  • Specialist
  • Washington, DC
  • NPI 1578777611
  NPD (past)
• Medstar Physician Partners, Inc

  dba Medlantic Healthcare Group

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1477503118
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306910476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5194 DAWES AVE",
            "address_2": "LARREN WADE MD INTERNAL MEDICINE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-671-9530",
            "fax_number": "703-671-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5194 DAWES AVE",
            "address_2": "LARREN WADE MD INTERNAL MEDICINE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-671-9530",
            "fax_number": "703-671-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "LARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Stewart Wackenhut, CPNP
• Nikki Waddell, MD
• Barbara J Wade, M.A.T., C.C.C.
• Danielle Wade
• Karima Wade
• Tina Wade
• Evelyn Cecilia Wadsworth, LCSW
• Cameron Waggoner, PT, DPT, NCS
• Jeffrey David Wagman, D.D.S.
• Wagner Autism Growth LLC

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.