Provider Demographics
NPI:1992732044
Name:FINLEY, RICHARD WADE (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WADE
Last Name:FINLEY
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 1:2500 N STATE STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-5560
Mailing Address - Fax:601-984-5565
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:DEPT OF EMER MEDICINE
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-984-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS12346207P00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSP01118831OtherRAILROAD MEDICARE
AL195310Medicaid
MS00012868Medicaid
LA1685721Medicaid
MSRR 440001371OtherRAILROAD
MS00012868Medicaid
MSP00677947Medicare PIN
MS110000405Medicare PIN
MSRR 440001371OtherRAILROAD
MS302I448855Medicare PIN