JOHN ODOM (NPI# 1215953732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215953732 |
Entity Type | Individual |
Full Name | JOHN ODOM |
Credential | MD |
Practice Address |
10500 Wayzata Blvd Minnetonka MN 55305-1511 |
Mailing Address |
6390 Pleasant View Cv Chanhassen MN 55317-9263 |
Practice Telephone | 9522241919 |
Mailing Telephone | 9529062011 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2015-03-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 44235 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497118004 | John David Odom | Student in an Organized Health Care Education/Training Program | 6701 Fannin St Ste 1560, Houston, TX 77030-2614 | 2016-03-31 |
1003889387 | John N Odom | Family Medicine | 3032 E Highway 76, Mullins, SC 29574-7396 | 2006-02-08 |
1073514766 | John A Odom Jr. | Specialist | 10103 Ridgegate Pkwy, Lone Tree, CO 80124-5520 | 2005-08-03 |
1508866773 | John W Odom | Surgery | 594 S Columbia Ave, Ste 100, Rincon, GA 31326-0919 | 2005-07-28 |
Street Address |
10500 WAYZATA BLVD |
City | MINNETONKA |
State | MN |
Zip Code | 55305-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851908685 | Asp Dental, PC | Clinic/Center | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2020-09-25 |
1487089298 | Jessica Ann Kimberly | Occupational Therapist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2013-09-11 |
1326385667 | Margaret Emily Eaton | Dietitian, Registered | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2013-01-07 |
1184903486 | Geoffrey N Sudit | Dentist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2011-08-04 |
1396965570 | Michael S Sudit | Dentist | 10500 Wayzata Blvd, Minnetonka, MN 55305 | 2007-04-27 |
1063570554 | James C Smith | Physical Therapist | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-05 |
1063570422 | Active Therapeutics Institute, Pa | Physical Medicine & Rehabilitation | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
Find all providers in zip 55305 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679868319 | Paul Anthony Tschetter | Emergency Medicine | 5435 Feltl Road, Minnetonka, MN 55343-7983 | 2011-06-10 |
1760649826 | John E Houghland | Emergency Medicine | 5345 Feltl Road, Minnetonka, MN 55343-7983 | 2008-05-16 |
1073615902 | Arthur James Puff | Emergency Medicine | 15008 Crown Dr, Minnetonka, MN 55345-3605 | 2006-09-01 |
1346231164 | Gregory G Berglund | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2005-11-01 |
1689077877 | Michael Fitzgerald | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343 | 2014-10-01 |
1922413129 | Kylie Sara Dixson | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-25 |
1548675267 | Mark Bergstrand | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-23 |
1144634841 | Maria N. Bergstrand | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-20 |
1881008829 | Nathaniel G Harris | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-18 |
1487068938 | Adam Jason Shapin | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-12 |
Find all providers in MINNETONKA |
City | MINNETONKA |
Zip Code | 55305 |
Please comment or provide details below to improve the information on JOHN ODOM.
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.