RICHARD B. ODOM (NPI# 1093747909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093747909 |
| Entity Type | Individual |
| Full Name | RICHARD B. ODOM |
| Credential | MD |
| Practice Address |
461 7th St W Suite 3 Sonoma CA 95476-5976 |
| Mailing Address |
461 Seventh St. West Suite 3 Sonoma CA 95476 |
| Practice Telephone | 7079381423 |
| Practice Fax Number | 7079382654 |
| Mailing Telephone | 7079381423 |
| Mailing Fax Number | 7079382654 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
C41605 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902128283 | Richard Douglas Odom | Pharmacist | 545 Oakline Dr, Birmingham, AL 35226-4118 | 2010-02-27 |
| 1689216483 | Richard Odom | Counselor | 213 E 2nd St, Fairmont, MN 56031-2814 | 2019-10-13 |
| 1841251790 | Richard D. Odom | Podiatrist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-03-30 |
| Street Address |
461 7TH ST W SUITE 3 |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-5976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| Find all providers in zip 95476 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
| 1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| 1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
| 1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
| 1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
| 1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
| 1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
| 1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
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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.