WADE IN THE WATER MEDICINE LLC
NPI 1629416730
Specialist in Chattanooga, TN

NPI Status: Active since June 11, 2013

Contact Information

5600 BRAINERD RD
FC5
CHATTANOOGA, TN
ZIP 37411
Phone: (423) 355-5471
Fax: (423) 355-5472

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  • Organization
  • Specialist

About WADE IN THE WATER MEDICINE LLC

This page provides the complete NPI Profile along with additional information for Wade In The Water Medicine Llc, a provider established in Chattanooga, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629416730 assigned on June 2013. The practitioner's primary taxonomy code is 174400000X with license number MD24920 (TN). The provider is registered as an organization and their NPI record was last updated 12 years ago. Wade In The Water Medicine Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Carroll G Odem Md (President)

NPI
1629416730
Provider Name
WADE IN THE WATER MEDICINE LLC
Entity Type
Organization
Location Address
5600 BRAINERD RD FC5 CHATTANOOGA, TN 37411
Location Phone
(423) 355-5471
Location Fax
(423) 355-5472
Mailing Address
5600 BRAINERD RD FC5 CHATTANOOGA, TN 37411
Mailing Phone
(423) 355-5471
Mailing Fax
(423) 355-5472
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2013
Last Update Date
04-30-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD24920
License State
TN
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CARROLL G ODEM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(423) 400-9910

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629416730, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 8 + 1 + 1 + 2 + 7 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1629416730.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
5600 BRAINERD RD, SUITE B-42
CHATTANOOGA, TN 37411
Counselor (Addiction (Substance Use Disorder))
5600 BRAINERD RD, SUITE B42
CHATTANOOGA, TN 37411
Internal Medicine
5600 BRAINERD RD, STE FC-5
CHATTANOOGA, TN 37411
Nurse Practitioner (Adult Health)
5600 BRAINERD RD, STE FC5
CHATTANOOGA, TN 37411
Psychologist (Clinical)
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Licensed Practical Nurse
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Nurse's Aide
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Registered Nurse
5600 BRAINERD RD
CHATTANOOGA, TN 37411
Internal Medicine
5600 BRAINERD RD, SUITE 500
CHATTANOOGA, TN 37411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629416730, enumerated as an "organization" on June 11, 2013.

The provider is located at 5600 BRAINERD RD FC5 CHATTANOOGA, TN 37411 and the phone number is (423) 355-5471.

Specialist with taxonomy code 174400000X.