NPIMap

Organization Active NPI

WLB Interventional, LLC

  • Vascular & Interventional Radiology Physician
  • Maumee, OH
National Provider Identifier
1336585306
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
WLB INTERVENTIONAL, LLC
Practice address
1500 Holland Rd
Maumee, OH 43537-1619
Phone
(419) 794-1006
Fax
(419) 794-1008
NPI assigned
May 17, 2013
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Dr. Wade L Banker, MD
Title
Owner
Phone
(419) 794-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

1500 Holland Rd
Maumee, OH 43537-1619

Mailing address

1500 Holland Rd
Maumee, OH 43537-1619
Phone (419) 794-1006

National Provider Directory

National Provider Directory

Locations

1500 Holland Rd
Maumee, OH 43537
Phone (419) 794-1006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1336585306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371619",
            "telephone_number": "419-794-1006",
            "fax_number": "419-794-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HOLLAND RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371619",
            "telephone_number": "419-794-1006",
            "fax_number": "419-794-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLB INTERVENTIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-794-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.