WADE H MARION PAC NPI 1659357176

NPI Information

NPI: 1659357176
Provider Name: WADE H MARION, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC
ZIP 27157
Phone: (336) 716-6192
Get Directions

Wade H Marion, PAC is a medical physician assistant in Winston-salem, NC. Wade H Marion, PAC NPI is 1659357176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC
ZIP 27157
Phone: (336) 716-6192
Fax: (336) 716-4318

The enumeration date for this NPI number is 12/16/2005 and was last updated on 11/22/2013.

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	363AM0700X	Physician Assistant	Medical	101159	NORTH CAROLINA	Yes

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	D5133	OTHER	NORTH CAROLINA	MEDCOST
2	S21800	MEDICARE UPIN
3	NCB633A	MEDICARE PIN	NORTH CAROLINA
4	1608PA	OTHER	NORTH CAROLINA	SC MEDICAID
5	2469136	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
6	1659357176	OTHER	NORTH CAROLINA	VIRGINIA MEDICAID
7	1659357176	MEDICAID	NORTH CAROLINA
8	1659357176	OTHER	NORTH CAROLINA	PARTNERS
9	1659357176	OTHER	NORTH CAROLINA	TRICARE
10	2747406A	MEDICARE PIN	NORTH CAROLINA
11	7010743	OTHER		AETNA

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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