Stanley a. Wade, Jr., MD, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

STANLEY A. WADE, JR., MD, PLLC

Practice address

1800 12TH St
Suite 3a
Meridian, MS 39301-4158

Phone

(601) 703-9223

Fax

(601) 703-9405

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stanley A. Wade Jr., M.D.NPI 1578545984

Title

Owner

Phone

(205) 459-4778

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stanley A. Wade Jr., M.D.

  • Urology Physician
  • Meridian, MS
  • NPI 1578545984
  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316905342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020328",
            "telephone_number": "601-703-9506",
            "fax_number": "601-703-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "address_2": "SUITE 3A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-703-9223",
            "fax_number": "601-703-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY A. WADE, JR., MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-459-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06874076",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Anthony'S Hospice, LLC
• Shelley R St. Germain, CRNA
• Kenneth Staggs Jr., MD
• Shanice Stancil
• Stand Upright Equipment
• Eddie S. Starnes, M.D.
• Susan S. Staton Johnson, SLP
• Lee E Steele
• Melissa R Stephens, M.D.
• Cody Austin Stevens

• Urology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Urology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.