JOHN ODOM


Address: 10500 Wayzata Blvd, Minnetonka, MN 55305-1511
Phone: 9522241919

JOHN ODOM (NPI# 1215953732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 44235 MN Allopathic & Osteopathic Physicians

Other Providers JOHN ODOM

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

Office Location

Street Address 10500 WAYZATA BLVD
City MINNETONKA
State MN
Zip Code 55305-1511

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

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.

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