J. Wade M. D. - Neurology, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

14598 Issued in OK

Legal business name

J. WADE M. D. - NEUROLOGY, P.C.

Doing business as

J. WADE M. D. - NEUROLOGY, P.C.

Practice address

2526 W Edison St
Tulsa, OK 74127-6128

Phone

(918) 587-5100

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome B Wade, M. D.

Title

Owner

Phone

(918) 587-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• J. WADE M. D. - NEUROLOGY, P.C. Doing business as

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1952436453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2169",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741012169",
            "telephone_number": "918-587-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 W EDISON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741276128",
            "telephone_number": "918-587-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WADE M. D. - NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-587-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "14598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250220B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. WADE M. D. - NEUROLOGY, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.