Robert Wade Wineman in Jackson - Diagnostic Radiology
Robert Wade Wineman - NPI 1760690713
Robert Wade Wineman is a Diagnostic Radiology in Jackson, Mississippi. Robert Wade Wineman practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Robert Wade Wineman is 1760690713. The last update date is 2017-02-10.
Robert Wade Wineman's current location address is 969 Lakeland Dr, Jackson, Mississippi. You can contact this provider via phone number 8774062916 and fax number 6016827909. The mailing address for Robert Wade Wineman is 969 Lakeland Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wade Wineman |
|---|---|
| Address | 969 Lakeland Dr, Jackson, Mississippi |
| Phone Number | 8774062916 |
| Fax Number | 6016827909 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760690713 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2017-02-10 |
Provider Mailing Address Detail
| Address | 969 Lakeland Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164606 |
| Phone Number | 8774062916 |
| Fax Number | 6016827909 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 101237841 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00752697 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Robert Wade Wineman by the Centers for Medicare & Medicaid Services?
The Robert Wade Wineman has been issued the NPI (National Provider Identifier) 1760690713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Robert Wade Wineman is physically located?
The Robert Wade Wineman is physically situated at the following address: 969 Lakeland Dr, Jackson, MS, 392164606.
What is Robert Wade Wineman's area of expertise and its corresponding taxonomy classification?
The Robert Wade Wineman's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1760690713 assigned to Robert Wade Wineman?
The Robert Wade Wineman was issued its 1760690713 on 2007-05-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Robert Wade Wineman's details last updated?
The information pertaining to the Robert Wade Wineman, including its address, specialty, and other details, was most recently updated on 2017-02-10.