Carol Ann Wadelam

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

1001 W Cypress Creek Rd Ste 120
Fort Lauderdale, FL 33309-1947

Phone

(508) 561-7284

Fax

(508) 561-7284

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Ann Wade-Lam Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1831602986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 NW 2ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643703",
            "telephone_number": "508-561-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CYPRESS CREEK RD STE 120",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091947",
            "telephone_number": "508-561-7284",
            "fax_number": "508-561-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADELAM",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WADE-LAM",
            "middle_name": "ANN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• W R Rosen Inc
• Nathalie Sofi Wacher, MD
• Susan Wade-Infanzon, L.C.S.W.
• Jennifer Marie Wade, PA-C
• Thomas Wade, M.D.
• Perminder Wadhwa, DDS
• Wael Z Tamim M D P a
• Rajesh Waghmode
• Abby Elise Wagman, L.AC.
• Ahmed Ameen Waheed, MD

• All providers in Fort Lauderdale, FL
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.