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DR. JEFFERY TRAD WADSWORTH MD FACS NPI 1578531216


NPI Information

NPI: 1578531216
Provider Name: DR. JEFFERY TRAD WADSWORTH, MD, FACS
Classification: Otolaryngology - 207YX0007X
Entity Type: Individual

Specialization: Plastic Surgery within the Head & Neck

PECOS Registration: Yes

Address:
1365A CLIFTON RD NE
ROOM A2303
ATLANTA, GA
ZIP 30322
Phone: (404) 778-3381
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DR. Jeffery Trad Wadsworth, MD, FACS is a plastic surgery within the head and neck otolaryngology in Atlanta, GA with 31 years of experience. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. DR. Jeffery Trad Wadsworth, MD, FACS NPI is 1578531216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1365A CLIFTON RD NE
ROOM A2303
ATLANTA, GA
ZIP 30322-013
Phone: (404) 778-3381
Fax: (404) 778-4295

The NPI 1578531216 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.

  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

The enumeration date for this NPI number is 3/9/2006 and was last updated on 7/1/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology0101231639VIRGINIANo
2207YX0901XOtolaryngologyOtology & Neurotology0101231639VIRGINIANo
3207YP0228XOtolaryngologyPediatric Otolaryngology0101231639VIRGINIANo
4207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck0101231639VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PAROTHERVIRGINIACORVEL/CORCARE
2064P3OTHERNORTH CAROLINABC/BS
341264OTHERVIRGINIASENTARA
4H05758MEDICARE UPINVIRGINIA
5294562OTHERVIRGINIAUHC/MAMSI
6-004OTHERVIRGINIATRICARE/CHAMPUS
789064P3MEDICAIDNORTH CAROLINA
8040000501MEDICARE PINVIRGINIA
9PAROTHERVIRGINIAUSA MANAGED CARE
10PAROTHERVIRGINIAVA PREMIER HEALTH
11PAROTHERVIRGINIACIGNA
12040016327MEDICARE PINVIRGINIA
13PAROTHERVIRGINIAFIRST HEALTH COMMERCIAL
14PAROTHERVIRGINIAVA HEALTH NETWORK
15PAROTHERVIRGINIAMULTIPLAN
16PAROTHERVIRGINIAAETNA
17434684OTHERVIRGINIAANTHEM
18006503004MEDICAIDVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.