John S Wade MD Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

G44659 Issued in CA

Legal business name

JOHN S WADE MD INC

Practice address

6067 N Fresno St
Suite 101
Fresno, CA 93710-5200

Phone

(559) 436-0606

Fax

(559) 436-4274

NPI assigned

Dec 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Sherer Wade, M.D.NPI 1346297330

Title

President

Phone

(559) 436-0606

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Wade, M.D.

  • Colon & Rectal Surgery Physician
  • Fresno, CA
  • NPI 1346297330
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1316216971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105200",
            "telephone_number": "559-436-0606",
            "fax_number": "559-436-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105200",
            "telephone_number": "559-436-0606",
            "fax_number": "559-436-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S WADE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SHERER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-436-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G44659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Joseph Johncox, P.A.

• Colon & Rectal Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.