DR. DAVID DUSTON ODELL (NPI# 1033354592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033354592 |
| Entity Type | Individual |
| Full Name | DR. DAVID DUSTON ODELL |
| Credential | MD, MMSC |
| Practice Address |
251 E Huron St Galter 3-150 Chicago IL 60611-2908 |
| Practice Telephone | 3126954630 |
| Practice Fax Number | 3126953644 |
| Mailing Telephone | 3126954630 |
| Mailing Fax Number | 3126953644 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2015-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 229357 | MA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 036.138368 | IL | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD448642 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649288473 | David Michael Odell | Family Medicine | 15400 W 64th Ave Unit 9e, Suite 14, Arvada, CO 80007-6852 | 2006-08-04 |
| 1609435130 | David Patrick Odell | Occupational Therapy Assistant | 2301 Rainbow Dr, Gadsden, AL 35901-5517 | 2019-06-09 |
| 1437232725 | David Hardy Odell | Anesthesiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-23 |
| Street Address |
251 E HURON ST GALTER 3-150 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169636 | George Chiampas | Emergency Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2005-07-29 |
| 1316544067 | Valerie E Musolf | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-06 |
| 1326645193 | Colleen Nash | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-10-05 |
| 1841807286 | Sara Schussler | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-29 |
| 1679188114 | James Andrew Wong | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1740895218 | Ryan Twilley | Registered Nurse | 251 E Huron St, Chicago, IL 60611-3055 | 2020-09-11 |
| 1245845031 | Austin Tucker | Registered Nurse | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-09 |
| 1144834656 | Alana Telfer | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2020-09-02 |
| 1386257277 | Ashley Elizabeth Mathews | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-3055 | 2020-08-28 |
| 1982216776 | Thwisha Sabloak | Student in an Organized Health Care Education/Training Program | 251 E Huron St, Chicago, IL 60611-2908 | 2020-08-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760930028 | Hiroto Kitahara | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5841 S. Maryland Avenue M/c6040, Chicago, IL 60637 | 2016-09-15 |
| 1720440282 | Azad Karim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 441 E Erie St Apt 1803441, Chicago, IL 60611-4446 | 2016-03-24 |
| 1235557190 | Bartlomiej Imielski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 E. Huron St., Galter 11-140, Chicago, IL 60611 | 2014-03-28 |
| 1952744823 | Walter Lee Barker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2912 N. Commonwealth Ave., #11c, Chicago, IL 60657-6235 | 2013-04-10 |
| 1386918787 | Attapoom Susupaus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 201 East Huron St, Galter Pavillion 11-140, Chicago, IL 60611-2968 | 2012-03-02 |
| 1164740304 | Audrey Christine Pendleton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1725 W Harrison St Ste 1156, Chicago, IL 60612-3852 | 2010-05-12 |
| 1063669752 | Michael C Monge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 E Chicago Ave # 22, Cardiovascular Surgery, Chicago, IL 60611-2991 | 2008-08-25 |
| 1245452267 | Riccardo Benvenuto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3240 N. Lake Shore Dr., Apt. 6a, Chicago, IL 60657-3909 | 2007-05-02 |
| 1073646113 | Keiko Okumura | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1635 West Congress Parkway, Chicago, IL 60612 | 2007-03-14 |
| 1184771172 | Samuel Suk Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 676 N Saint Clair St Ste 2320, Chicago, IL 60611 | 2007-01-04 |
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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.