DR. CHARLES SETH WADE M.D. NPI 1184820003

NPI Information

NPI: 1184820003
Provider Name: DR. CHARLES SETH WADE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
NMCP CARDIOLOGY
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 953-1276
Get Directions

DR. Charles Seth Wade, M.D. is a cardiovascular disease internal medicine in Portsmouth, VA with 17 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Charles Seth Wade, M.D. NPI is 1184820003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2007

The provider's business location address is:

NMCP CARDIOLOGY
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA
ZIP 23704
Phone: (757) 953-1276

The NPI 1184820003 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		01066642A	INDIANA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	0101267882	VIRGINIA	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1184820003	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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