Wade Medical Transportation Services , LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WADE MEDICAL TRANSPORTATION SERVICES , LLC

Doing business as

Wade Medical Transportation Service , LLC

Practice address

4400 Park Rd Unit 315
Charlotte, NC 28209

Phone

(980) 833-2029

Fax

(980) 545-4415

NPI assigned

Jul 9, 2018

Last updated

Jul 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jevetta R WadeNPI 1225524671

Title

Ceo/Owner of Operations

Phone

(980) 833-2029

Specialties & licenses 1

Addresses

Other names 1

• Wade Medical Transportation Service , LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jevetta R Wade

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1225524671

  Non-Emergency Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1942796396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49329",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770077",
            "telephone_number": "980-833-2029",
            "fax_number": "980-545-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 PARK RD UNIT 315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "980-833-2029",
            "fax_number": "980-545-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE MEDICAL TRANSPORTATION SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JEVETTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/OWNER OF OPERATIONS",
        "authorized_official_telephone_number": "980-833-2029"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wade Medical Transportation Service , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tia Wackerhagen, RN
• Harold Douglas Wackerle, M.D.
• Kelly Ryan Wackerle, MD
• Anna Waddell
• Bridget Facenda Waddell
• Adrienne Nichole Wade
• Avita Wade
• Jevetta R Wade
• Kimberly Ann Wade
• Ronald V Wade, MD

• Non-emergency Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.