MS. CAROL A ODEA (NPI# 1306060355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306060355 |
| Entity Type | Individual |
| Full Name | MS. CAROL A ODEA |
| Credential | RN, MPA |
| Practice Address |
900 Woodward Ave Pontiac MI 48341-2976 |
| Mailing Address |
5423 Boyne Highland Trl Clarkston MI 48348-3701 |
| Practice Telephone | 2488583397 |
| Mailing Telephone | 2483941057 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
4704088484 | MI | Nursing Service Providers |
| Street Address |
900 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-2976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841853223 | Tamara Yvette Smith | Registered Nurse | 173 Charles Ln, Pontiac, MI 48341-2928 | 2019-04-21 |
| 1366970873 | Angela Vestrand | Registered Nurse | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-05-28 |
| 1487195566 | Verna Renee Dubord | Registered Nurse | 44200 Woodward Ave, Suite 209, Pontiac, MI 48341-5045 | 2017-03-09 |
| 1972833416 | Jacqueline Tenor Girard | Registered Nurse | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274227 | Damita Ferguson | Registered Nurse | 14441 Northfield Blvd, Oak Park, MI 48237-1522 | 2020-10-30 |
| 1447868237 | Mohamad Abdul-nabi Cheaito | Registered Nurse | 22445 Heinze St, Dearborn, MI 48128-1323 | 2020-07-17 |
| 1437774288 | Elizabeth Marie Kirkpatrick | Registered Nurse | 600 Broadway Ave Nw Apt 432, Grand Rapids, MI 49504-7325 | 2020-06-08 |
| 1538782446 | Jose Ramon Sanchez-carrera | Registered Nurse | 13375 Village Park Dr Apt C4, Southgate, MI 48195-2769 | 2020-05-27 |
| 1003455981 | Dylan M Meyer | Registered Nurse | 1085 Kentwood St Ne, Grand Rapids, MI 49505-4837 | 2019-12-25 |
| 1366087140 | Amanda Marlene Oaks | Registered Nurse | 46087 Rhodes Dr, Macomb, MI 48044-4080 | 2019-11-15 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1396389839 | Adrian Danielle Williams | Registered Nurse | 23759 Stony Creek Dr, Farmington Hills, MI 48336-2231 | 2019-10-28 |
| 1003479429 | Elena Darby | Registered Nurse | 13994 Susanna Ct, Livonia, MI 48154-4988 | 2019-04-22 |
| 1427611052 | Kristin Michelle Kennaugh | Registered Nurse | 1557 Crimson Dr, Troy, MI 48083-5506 | 2019-04-18 |
| 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.