Individual provider Active NPI

Wade Glazner McClain, DO

  • Otolaryngology Physician
  • Chapel Hill, NC
National Provider Identifier
1386873677
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2015-00960 Issued in NC
Practice address
431 Meadowmont Village Cir
Chapel Hill, NC 27517-7506
Phone
(984) 974-6484
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2015-00960 NC Primary

Addresses

Primary practice location

431 Meadowmont Village Cir
Chapel Hill, NC 27517-7506

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmcclain118439@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150902000249 NC Practitioner - Otolaryngology 6901049550 Reassigns benefits to 1 organization
I20210927002536 TN Practitioner - Otolaryngology 6901049550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Oklahoma State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 Meadowmont Village Cir
Chapel Hill, NC 27517-7506
Phone (984) 974-6484

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4791OKMDGeneral Practice Dentistry
2015-00960NCMDHospice and Palliative Medicine (Family Medicine) Physician
4425TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Children's Research Hospital, Inc. CurrentSince Jun 13, 2022 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343

Interoperability endpoints

  • Direct secure messaging: wademcclain@entst.allscriptsdirect.net
  • Direct secure messaging: wmcclain34970@mlh.direct-ci.com
  • Direct secure messaging: wade.mcclain@direct.stjohnhealthsystem.com
  • Direct secure messaging: wmcclain118439@direct.unc.nchie.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1386873677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MEADOWMONT VILLAGE CIR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177506",
            "telephone_number": "984-974-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "WADE",
        "middle_name": "GLAZNER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2015-00960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmcclain118439@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "431 Meadowmont Village Cir",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275177506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.