NPI Code Detail JSON Logo

1306214341 NPI number — MADELAINE ROSE WADE MD

NPI Number: 1306214341
Health Care Provider/Practitioner: MADELAINE ROSE WADE MD

Information about “1306214341” NPI (MADELAINE ROSE WADE MD) exists in 1306214341 in HTML format HTML  |  1306214341 in plain Text format TXT  |  1306214341 in PDF (Portable Document Format) PDF  |  1306214341 in an XML format XML  formats.

NPI Number : 1306214341 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306214341",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WADE",
    "FirstName": "MADELAINE",
    "MiddleName": "ROSE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHAUFEL",
    "OtherFirstName": "MADELAINE",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RDN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8560 COOK ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT PLEASANT",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28124-7686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-436-6521",
    "MailingAddressFaxNumber": "704-436-9505",
    "FirstLinePracticeLocationAddress": "8560 COOK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT PLEASANT",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28124-7686",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-436-6521",
    "PracticeLocationAddressFaxNumber": "704-436-9505",
    "EnumerationDate": "09/08/2015",
    "LastUpdateDate": "11/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "V4774",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": "2025-02250",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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