Waden E Emery III M D P a

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME45215 Issued in FL

Legal business name

WADEN E EMERY III M D P A

Practice address

5340 N Federal Hwy
Suite 205
Lighthouse Point, FL 33064-7058

Phone

(954) 771-8300

Fax

(954) 771-4002

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Waden Everett Emery III, M.D.NPI 1831154319

Title

President

Phone

(954) 771-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Waden Everett Emery III, MD

  • Neurology Physician
  • Lighthouse Point, FL
  • NPI 1831154319
  Medicare reassignment Authorized official
• Ada Lisa Martorell, LMHC

  • Mental Health Counselor
  • Lighthouse Point, FL
  • NPI 1134674641
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1740447176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY",
            "address_2": "SUITE 205",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-771-8300",
            "fax_number": "954-771-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N FEDERAL HWY",
            "address_2": "SUITE 205",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647058",
            "telephone_number": "954-771-8300",
            "fax_number": "954-771-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADEN E EMERY III M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "WADEN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME45215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049128400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carline Toussaint
• Trucare National LLC
• Dara Tuckfelt-Spey, PSY.D.
• Marcell Gabor Veszelovszky, DC
• Maxwell Christopher Voce
• Andrew John Wagner, AU.D.
• Jada Walker
• Kimberly Ann White, M.S.-CCC-A
• Bradley Samual Wiener, RPH
• Nancy Wiley, D.D.S., M.S.

• Neurology Physician in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.