Billy Kossuth Wade, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

J5942 Issued in TX

Practice address

300 Werner St.
Hot Springs, AR 71913

Phone

(501) 622-1043

Fax

(501) 622-2033

NPI assigned

Jun 17, 2006

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Emergency Associates of Texas, PA

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1326071788
  NPD (past)
• Texarkana Emergency Medicine Physicians,PA

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1184662553
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1962447680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29001",
            "address_2": "STE 900",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719039001",
            "telephone_number": "501-622-1043",
            "fax_number": "501-622-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER ST.",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-622-1043",
            "fax_number": "501-622-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "BILLY",
        "middle_name": "KOSSUTH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J5942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LINKED",
            "identifier": "554306972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079170A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115829701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190656201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103425001",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nannette L. Vowell, MD
• VRM Medical, , LLC
• Doris Ann Wacaster, RNC
• Lillie Wacaster, LAC
• Priscilla Alice Wacaster, M.D.
• Domonique Deshea Wadley, PHARMD
• Misti Wagley, LPN
• Wagnon Physical Therapy LLC
• Jason Wagnon, PT, DPT
• Mian Adnan Waheed, M.D.

• Emergency Medicine Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.