Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor M. Wade, MD

Individual provider Family Medicine Physician · NPI 1710464482

Taylor M. Wade, MD is a Family Practice in Farmington, New Mexico. Qualified in 2017, 9 years ago. Practices with San Juan Medical Group PC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W Maple St Ste B
Farmington, NM 87401-6589
Phone: (505) 327-4867
Fax: (505) 327-5355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD2021-0451 (NM)

Record details

NPI number1710464482
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2018
Last updated in NPPESJuly 22, 2021
Certification dateJune 25, 2021
Mailing address622 W Maple St Ste B, Farmington, NM 87401-6589

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice San Juan Medical Group Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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