Larry Wayne Wade, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00017461 Issued in AL

Practice address

2619 Decatur Hwy
Fultondale, AL 35068-1723

Phone

(205) 841-9898

Fax

(205) 841-9880

NPI assigned

Sep 23, 2005

Last updated

Jun 16, 2010By the provider in NPPES

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

Enrolled in AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Carraway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1235186875
  NPD (past)
• North Jefferson Internal Medicine

  • Internal Medicine Physician
  • Fultondale, AL
  • NPI 1124139282
  NPD (past)
• Physicians Emergency Services, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1417179508
  NPD (past)
• Premier Medical

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1851375885
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1922094085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681723",
            "telephone_number": "205-841-9898",
            "fax_number": "205-841-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 DECATUR HWY",
            "city": "FULTONDALE",
            "state": "AL",
            "postal_code": "350681723",
            "telephone_number": "205-841-9898",
            "fax_number": "205-841-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "LARRY",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00017461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051503805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy South LLC Fultondale
• TPS, LLC (TPS)
• Victor Tran
• Jennifer Amarachi Ukeje, DNP-FNP
• Hannah Vorenkamp
• Walgreen Co (Walgreens #19770)
• Andrea White, PT, DPT
• William and Mary Pharmacy
• Liza Craven Williams, PHARM.D.
• Lucille Smith Wood, DPT

• Internal Medicine Physician in Fultondale, AL
• Providers in Fultondale, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.