MICHAEL SEAN O'DELL (NPI# 1013284397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013284397 |
| Entity Type | Individual |
| Full Name | MICHAEL SEAN O'DELL |
| Credential | CRNA |
| Practice Address |
5501 N Portland Ave Oklahoma City OK 73112-2074 |
| Mailing Address |
Po Box 248875 Oklahoma City OK 73124-8875 |
| Practice Telephone | 4056046000 |
| Mailing Telephone | 9183922944 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R0067052 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200421920A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538256607 | Michael Wayne O'dell | Physical Medicine & Rehabilitation | 525 E 68th St # F-1817, New York, NY 10021-4870 | 2006-10-09 |
| 1932528999 | Michael Thomas O'dell | Counselor | 325 9th Ave, Seattle, WA 98104-2420 | 2014-04-07 |
| 1417969007 | Michael O'dell | Physician Assistant | 208 Gaslight Blvd, Lufkin, TX 75904-3166 | 2006-08-12 |
| 1780631507 | Michael Lynn O'dell | Family Medicine | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-05-27 |
| Street Address |
5501 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
| 1255966685 | Traci Mcclay | Nurse Practitioner | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-03-05 |
| 1154954873 | Nathan C Defee | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-02-20 |
| 1114566270 | Marianna Gail Eubanks | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-01-06 |
| 1104475151 | William R Low | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-09-11 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1720563711 | Austin Graham Trent | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2018-09-26 |
| 1912432048 | Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-26 |
| 1053844365 | Ellen Mclain | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638727 | Kylie Ann Gross | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext Ste B103, Oklahoma City, OK 73114-7408 | 2020-01-09 |
| 1093172975 | Audrey Gauthe | Nurse Anesthetist, Certified Registered | 6529 Bent Wood Dr, Oklahoma City, OK 73169-6226 | 2016-01-22 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| 1003245481 | Traci Renee Wilmarth | Nurse Anesthetist, Certified Registered | 9713 Lakecrest Dr, Oklahoma City, OK 73159-6777 | 2013-11-05 |
| 1710226584 | Kay Lynn Woods | Nurse Anesthetist, Certified Registered | 7344 Nw 148th St, Oklahoma City, OK 73142-7858 | 2013-02-13 |
| 1154671097 | Desiree L Herring | Nurse Anesthetist, Certified Registered | 2317 Sw 137th St, Oklahoma City, OK 73170-5142 | 2012-09-19 |
| 1245537257 | William Todd Dupler | Nurse Anesthetist, Certified Registered | 3705 Nw 63rd St Ste 100, Oklahoma City, OK 73116-1937 | 2011-02-28 |
| 1699072702 | John Le | Nurse Anesthetist, Certified Registered | 301 N Walker Ave Apt 9106, Oklahoma City, OK 73102-1876 | 2011-02-25 |
| 1033426754 | Debra Dee Dunham Crna PC | Nurse Anesthetist, Certified Registered | 9801 S Penn Ave, Oklahoma City, OK 73159-6925 | 2010-09-01 |
| 1083927057 | Jerry Allen Gooch | Nurse Anesthetist, Certified Registered | 921 Ne 13th St., Va Medical Center, Oklahoma City, OK 73104-5028 | 2010-07-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.