Individual provider Active NPI

Charles Frempong Wadee, M.D

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1659581122
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18985 Issued in SC
Practice address
1403 East Greenville Street
Suite a
Anderson, SC 29621-2049
Phone
(864) 261-6000
Fax
(864) 261-6947
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18985 SC Primary

Addresses

Primary practice location

1403 East Greenville Street
Suite a
Anderson, SC 29621-2049

Mailing address

1403 East Greenville Street
Suite a
Anderson, SC 29621-2049
Phone (864) 261-6000

Other identifiers 1

IdentifierTypeStateIssuer
T29779MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000300 SC Practitioner - Internal Medicine 3779558341 Practice locations: Anderson, SC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18985SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Charles Wadee MD Internal Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659581122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 EAST GREENVILLE STREET",
            "address_2": "SUITE A",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049",
            "telephone_number": "864-261-6000",
            "fax_number": "864-261-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 EAST GREENVILLE STREET",
            "address_2": "SUITE A",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296212049",
            "telephone_number": "864-261-6000",
            "fax_number": "864-261-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEE",
        "first_name": "CHARLES",
        "middle_name": "FREMPONG",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "18985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T29779",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.