Wade in the Water Medicine LLC
NPI 1629416730ActiveOrganization· Specialist· Chattanooga, TN
Specialist in Chattanooga, Tennessee, registered in NPPES in June 2013. The authorized official on file is Carroll G. Odem, MD, President.
Overview
| NPI | 1629416730 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2013 |
| Last updated in NPPES | Apr 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | MD24920 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Chattanooga
- 1023002466
- 1093780546
- 1184714180
- 1568646974
- 1578555835
- 1669559035
- 1689668121
- 1609868017
- 1083716682
- 1114922473
- 1841225406
- 1013026020
All 92 Specialist providers in Chattanooga · All Specialist providers in Tennessee