Randall William Wade, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G7117 Issued in TX

Practice address

120 S Central Expy
Suite 124
McKinney, TX 75070-3742

Phone

(972) 548-5388

Fax

(972) 548-7318

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881782373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH CENTRAL EXPRESSWAY",
            "address_2": "SUITE 124",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703753",
            "telephone_number": "972-548-5388",
            "fax_number": "972-548-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S CENTRAL EXPY",
            "address_2": "SUITE 124",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703742",
            "telephone_number": "972-548-5388",
            "fax_number": "972-548-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "RANDALL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nagasree Vupputuri
• Naga S Vytla, M.D.
• W.E.G. Health Corp. (Cornerstone Health Centers)
• Juliet I Wabara
• Emily Marie Wade, PA-C
• Maria Elena Waggoner, FNP
• Megan Waguespack, LMSW
• Sajaa Waheed
• Faisal Wahid, M. D.
• Michael Waidande, LPT

• Adult Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.