WBD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10798 Issued in MS

Legal business name

WBD

Practice address

376A Simpson Highway 149
Magee, MS 39111-3409

Phone

(601) 849-7240

Fax

(601) 849-7244

NPI assigned

Sep 22, 2006

Last updated

Mar 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank C Wade Jr., M.D.

Title

President

Phone

(601) 849-7240

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gene David Cathey, M.D.

  • Family Medicine Physician
  • Magee, MS
  • NPI 1811918246
  NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1528167608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SIMPSON HIGHWAY 149 STE 370",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113843",
            "telephone_number": "601-849-7240",
            "fax_number": "601-849-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376A SIMPSON HIGHWAY 149",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113409",
            "telephone_number": "601-849-7240",
            "fax_number": "601-849-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WBD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-849-7240",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09883351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank C Wade Jr., M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1192)
• Wal-Mart Stores East, LP (Vision Center 30-1192)
• Walgreen Co (Walgreens #10805)
• David J Ware II, CRNA
• David M. Webb, NP
• Mackenzie Wells, M.A., BCBA, LBA
• Lakeisha Wilson, FNP-C
• Kristina Danielle Wood, FNP

• Family Medicine Physician in Magee, MS
• Providers in Magee, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.