DR. MD, FACS Jeffery Trad Wadsworth, NPI 1578531216
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Atlanta, GA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1578531216 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD, FACS Jeffery Trad Wadsworth |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1365a Clifton Rd Ne, Room A2303, Atlanta, GA, US |
| Provider Mailing Address | 1365a Clifton Rd Ne, Room A2303, Atlanta, GA, US, 303221013 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| Classification | |
| Group | |
| License No. | 0101231639 |
| License State | VA |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0101231639 | VA | No | |||
| 0101231639 | VA | No | |||
| 0101231639 | VA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 006503004 | VA | MEDICAID | 05 |
| 89064P3 | NC | MEDICAID | 05 |
| PAR | VA | CORVEL/CORCARE | 01 |
| 294562 | VA | UHC/MAMSI | 01 |
| 434684 | VA | ANTHEM | 01 |
| PAR | VA | VA PREMIER HEALTH | 01 |
| PAR | VA | FIRST HEALTH COMMERCIAL | 01 |
| PAR | VA | CIGNA | 01 |
| PAR | VA | USA MANAGED CARE | 01 |
| 064P3 | NC | BC/BS | 01 |
| PAR | VA | VA HEALTH NETWORK | 01 |
| PAR | VA | MULTIPLAN | 01 |
| -004 | VA | TRICARE/CHAMPUS | 01 |
| 41264 | VA | SENTARA | 01 |
| PAR | VA | AETNA | 01 |
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LDO Anna Mccaskill Individual |
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MSHA, BSN, RN, CPN Madlina Jonassaint Individual |
4208 Alden Park Dr |
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FNP-C Sandra Nicole Mcneal Individual |
280 E Willow Creek Ln |
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Georgia Department Of Behavioral Health And Developmental Disabilities Organization |
3405 Mike Padgett Hwy |
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Comfort Of Care Llc Organization |
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Atlanta Hand Therapy, Llc Organization |
6115 Peachtree Dunwoody Rd Ste 210 |
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