Jeffrey Trent Wade, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

33993 Issued in TN

Practice address

127 Coldstream Rd
Murfreesboro, TN 37127-7737

Phone

(615) 631-6718

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Imaging Associates of North Mississippi Magnolia PLLC

  • Diagnostic Radiology Physician
  • Corinth, MS
  • NPI 1578512919
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679517833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COLDSTREAM RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277737",
            "telephone_number": "615-631-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 COLDSTREAM RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277737",
            "telephone_number": "615-631-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "JEFFREY",
        "middle_name": "TRENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "33993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q004457",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Ronald Vogt, D.D.S.
• Austin R Voigt, DC
• Volunteer Behavioral Health Care System
• Andrew Timothy Voss, PHD
• Claire Waddoups
• Steven P Wade, C.R.N.A.
• Kaitlin E Wagoner
• Sara Wahba, RBT
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP

• Diagnostic Radiology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.