Individual provider Active NPI

Ward B. Flad, MD

  • Emergency Medicine Physician
  • Mill Valley, CA
National Provider Identifier
1497830160
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G41285 Issued in CA
Practice address
389 Richardson Way
Mill Valley, CA 94941-4053
Phone
(415) 381-5575
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G41285 CA Primary

Addresses

Primary practice location

389 Richardson Way
Mill Valley, CA 94941-4053

Mailing address

389 Richardson Way
Mill Valley, CA 94941-4053
Phone (415) 381-5575

Other identifiers 1

IdentifierTypeStateIssuer
00G412850MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G41285CAMDEmergency Medicine Physician
41285CAMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: wflad@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1497830160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 RICHARDSON WAY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414053",
            "telephone_number": "415-381-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 RICHARDSON WAY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414053",
            "telephone_number": "415-381-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAD",
        "first_name": "WARD",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G41285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G412850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.