Provider Demographics
NPI:1104929603
Name:TURNER, WADE A (MD)
Entity type:Individual
Prefix:MR
First Name:WADE
Middle Name:A
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 762
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67156
Mailing Address - Country:US
Mailing Address - Phone:620-221-4000
Mailing Address - Fax:620-221-7121
Practice Address - Street 1:1230 E 6TH AVE
Practice Address - Street 2:STE 1B
Practice Address - City:WINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67156
Practice Address - Country:US
Practice Address - Phone:620-221-4000
Practice Address - Fax:620-221-7121
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-24010207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS622301OtherFIRSTGUARD
KS100136200EMedicaid
KS102600OtherBLUE SHIELD
KS100136200EMedicaid
KS622301OtherFIRSTGUARD