Craig Richard Wade, M.D.
Individual provider Active NPI Internal Medicine Physician · Houma, LA
NPI 1235422239 · NPPES record last updated Sep 28, 2021
Key facts
- NPI
- 1235422239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD207207 (LA)
- Practice address
- 1011 Verret St
Houma, LA 70360-4639 - Phone
- (985) 293-2300
- Fax
- (985) 293-2301
- NPI assigned
- May 24, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delta Medical Group
Practice addresses (Care Compare)
1340 Grand Caillou Rd
Houma, LA 70363-5558
Phone (985) 262-4424
435 Corporate Dr
Suite 301
Houma, LA 70360-2498
Phone (985) 381-3811
Hospital & facility affiliations
- Terrebonne Homecare, Inc.
- Acg Hospice
- Terrebonne General Medical Center - Parish
- Physicians Medical Center
- Thibodaux Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140828001642 | LA | Practitioner - Internal Medicine | 8820213234 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD207207 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Medical Solutions LLC | Internal Medicine | Current |
Accepting new patients |
| Louisiana Happy Health LLC | Current |
Accepting new patients | |
| Delta Medical Group | Current |
Accepting new patients | |
| Agape Care Louisiana LLC | Past | Accepting new patients |
Locations
1011 Verret St
Houma, LA 70360
Phone (985) 293-2300
435 Corporate Dr
Ste 301
Houma, LA 70360
Phone (985) 381-3811
1340 Grand Caillou Rd
Houma, LA 70363
Phone (985) 262-4424
2312 Western Trails Blvd
Ste 102B
Austin, TX 78745
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD207207 | LA | Yes |
Addresses
Primary practice location
1011 Verret St
Houma, LA 70360-4639
Mailing address
1011 Verret St
Houma, LA 70360-4639
Phone (985) 293-2300
Other providers in Houma, LA
- Carlos Ernesto Viteri-Yaquian
- Brandy Vo
- Rakitha Monique Volter-Jones
- Vishal Ashok Vyas
- Julie Waalk
- Stacy Michelle Wadsworth
- Claire Waguespack
- Brandi Wailes
- Wal-Mart Louisiana, LLC
- Wal-Mart Stores East LP
All providers in Houma, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.