Darrell D Wadas MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13563 Issued in AZ

Legal business name

DARRELL D WADAS MD PC

Practice address

1300 N 12TH St
#603
Phoenix, AZ 85006-2850

Phone

(602) 254-6686

Fax

(602) 254-4258

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Darrell D Wadas, MDNPI 1871565739

Title

Owner

Phone

(602) 254-6686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Darrell D Wadas, MD

  • Gastroenterology Physician
  • Payson, AZ
  • NPI 1871565739
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1407964463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#603",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062850",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 12TH ST",
            "address_2": "#603",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062850",
            "telephone_number": "602-254-6686",
            "fax_number": "602-254-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL D WADAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "WADAS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-254-6686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "13563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275215",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Darland, AU.D.,CCC-A
• Michael E Darling, PHARM D
• Morgan Darnell
• Rebekah June Daroff
• Andrea Marie Darosa, M.S., R.D.
• Kathleen Darrow, MSED
• Sabina Dart
• Raquel Lyn Dartt, RN
• Katherine Rose Daru, M.D.
• Jackson Darveaux

• Gastroenterology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Gastroenterology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.