ODYSSEY PRIMARY CARE CENTER, LLC (NPI# 1538575584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538575584 |
| Entity Type | Organization |
| Organization Name | ODYSSEY PRIMARY CARE CENTER, LLC |
| Practice Address |
2708 Paoli Pike Ste I New Albany IN 47150-5100 |
| Practice Telephone | 8127250985 |
| Practice Fax Number | 8127045722 |
| Mailing Telephone | 8127250985 |
| Mailing Fax Number | 8127045722 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-11-11 |
| Authorized Official Name | AMY RENEE BEDAN POFF (OWNER) |
| Authorized Official Telephone | 5027777195 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ODYSSEY PRIMARY CARE CENTER, LLC | 1615 Blackistonview Drive, Suite E, Clarksville, IN 47129 |
| Street Address |
2708 PAOLI PIKE STE I |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690258 | Serenity Primary Care & Recovery LLC | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2018-12-16 |
| 1841673753 | Shannon Witt | Family Medicine | 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 | 2015-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1154671824 | Premier Family Clinic & Urgent Care LLC | Clinic/Center | 312 Park Plaza Dr, New Albany, MS 38652-3104 | 2012-09-10 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1447445317 | Leslie Strouse, M.d., Psc | Clinic/Center | 2625 Charlestown Rd, New Albany, IN 47150-2536 | 2007-09-13 |
| 1275164220 | Hamburg Family Health LLC | Clinic/Center | 5130 Charlestown Rd Ste 1, New Albany, IN 47150-9483 | 2020-01-29 |
| 1235770421 | Healing Hands Family Medicine, LLC | Clinic/Center | 1915 West St Ste A, New Albany, IN 47150-5083 | 2019-09-30 |
| 1043861792 | Healing Hands Family Medicine, LLC | Clinic/Center | 1915 West St Ste A, New Albany, IN 47150-5083 | 2019-09-24 |
| 1861860553 | Floyd Memorial Hospital | Clinic/Center | 1850 State St, New Albany, IN 47150-4990 | 2015-09-11 |
| 1417347162 | New Albany Medical Clinic | Clinic/Center | 400 Doctors Dr, New Albany, MS 38652-3109 | 2015-02-03 |
| 1104246271 | Heart Attack and Stroke Prevention Center of New Albany, LLC | Clinic/Center | 226 Starlyn Ave, New Albany, MS 38652-2428 | 2014-04-16 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on ODYSSEY PRIMARY CARE CENTER, LLC.
| 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.