Active NPI
Ekpedeme Ubong Wade, MD
- Family Medicine Physician
- Richmond, TX
National Provider Identifier
1902079908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M6491
- Practice address
- 1505 Liberty St
Richmond, TX 77469-3218 - Phone
- (281) 342-9500
- Fax
- (382) 342-6667
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M6491 | TX | Primary |
Addresses
Primary practice location
1505 Liberty St
Richmond, TX 77469-3218
Mailing address
1505 Liberty St
Richmond, TX 77469-3218
Phone (281) 342-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6491 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1902079908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LIBERTY ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693218",
"telephone_number": "281-342-9500",
"fax_number": "382-342-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 LIBERTY ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774693218",
"telephone_number": "281-342-9500",
"fax_number": "382-342-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "EKPEDEME",
"middle_name": "UBONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M6491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.