ROBERT KEATH WADE MD NPI 1114911054

NPI Information

  • NPI: 1114911054
  • Provider Name: ROBERT KEATH WADE, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 DARLING AVE
    WAYCROSS, GA
    ZIP 31501
  • Phone: (912) 261-2669

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NPI Details

Robert Keath Wade, MD is an anatomic pathology and clinical pathology pathology in Waycross, GA with 47 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Robert Keath Wade, MD NPI is 1114911054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1978

The provider's business location address is:

410 DARLING AVE
WAYCROSS, GA
ZIP 31501-246
Phone: (912) 261-2669
Fax: (912) 261-0561

The NPI 1114911054 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Cell examination of specimen, concentration technique (HCPCS:88108)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Pathology examination of specimen during surgery, each additional tissue block (HCPCS:88332)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)

The enumeration date for this NPI number is 9/7/2005 and was last updated on 4/29/2008.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology055575GEORGIAYes

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
1I23124MEDICARE UPINGEORGIA
2275098800MEDICAIDFLORIDA
322BDDXRMEDICARE PINGEORGIA
422BDDQKMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
5P00380635MEDICARE PINGEORGIA
6324421953AMEDICAIDGEORGIA
7791600810MEDICAIDGEORGIA

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: 3/30/2025

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