PATRICK KIRK O'DELL (NPI# 1538727078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538727078 |
Entity Type | Individual |
Full Name | PATRICK KIRK O'DELL |
Credential | FNP |
Practice Address |
191 Iowa Blvd Trenton MO 64683-8343 |
Mailing Address |
511 W 4th Street Ter Carrollton MO 64633-1420 |
Practice Telephone | 8166321390 |
Mailing Telephone | 6603225035 |
Enumeration Date | 2019-05-30 |
Last Update Date | 2019-05-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017040279 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | CERTIFIED NURSE PRACTITIONER | 2017040279 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2799 N Washington St, Chillicothe, MO 646012902 | 6606461480 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689642654 | Patrick Dennis O'dell | Military Health Care Provider | 43 Smith Rd, Newport, RI 02841-1006 | 2006-03-08 |
Street Address |
191 IOWA BLVD |
City | TRENTON |
State | MO |
Zip Code | 64683-8343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841274057 | Saint Luke's Hospital of Trenton | General Acute Care Hospital | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2005-12-01 |
1376888321 | Saint Luke's Hospital of Trenton | Pharmacy | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2012-12-03 |
1285807362 | Kiana Long | Family Medicine | 191 Iowa Blvd, Wright Memorial Hospital, Trenton, MO 64683-8343 | 2008-04-09 |
1851572234 | Saint Luke's Hospital of Trenton | Internal Medicine | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2007-11-14 |
1730240243 | Jerry A Keuhn | Family Medicine | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2006-12-12 |
1821062688 | Saint Luke's Hospital of Trenton | Medicare Defined Swing Bed Unit | 191 Iowa Blvd, Trenton, MO 64683-8343 | 2006-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437499548 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1828 E 9th St, Trenton, MO 64683 | 2013-02-26 |
1891979126 | Premier Residential Care LLC | Assisted Living Facility | 109 E Crowder Road, Trenton, MO 64683 | 2007-12-21 |
1942337662 | Green Hills Rural Development, Inc, Dba North Central Missouri Advocac | Counselor | 703 Main, Trenton, MO 64683 | 2007-02-28 |
1083700645 | Jjoseph Goodin Slonecker | Dentist | 152 East 8th Street, Trenton, MO 64683 | 2006-10-04 |
1831296953 | William Robert Mchargue | Dentist | 2700 Oklahoma Avenue, Trenton, MO 64683 | 2006-09-20 |
1356380703 | Henson Chiropractic Clinic Pa | Chiropractor | 203 E. 9th Street, Suite D, Trenton, MO 64683 | 2006-06-04 |
1649242876 | Grundy County Nursing Home | Skilled Nursing Facility | 1311 E 28th St, Trenton, MO 64683 | 2006-02-02 |
1093786873 | Gregory Dean Cross | Pharmacist | 616 East 1 Street, Trenton, MO 64683 | 2006-01-30 |
1285618306 | Paula J Gimson | Nurse Practitioner | 189 Iowa Blvd, Trenton, MO 64683 | 2005-12-01 |
1851517437 | Green Hills Superior Care, Inc. | Community/Behavioral Health | 915 E 9th St, Trenton, MO 64683-0216 | 2007-04-18 |
Find all providers in zip 64683 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982249223 | Brook Michelle Ferry | Nurse Practitioner | 5 Appleton Dr, Trenton, NJ 08610-2501 | 2019-11-11 |
1356808760 | Vanessa Marie Ratcliff | Nurse Practitioner | 925 Delhi Dr, Trenton, OH 45067-9348 | 2019-02-22 |
1184190696 | Mary Alicia-dana Kirk | Nurse Practitioner | 2445 Riverside Dr Apt 301, Trenton, MI 48183-2761 | 2018-10-23 |
1043704216 | Elizabeth Ann Davis | Nurse Practitioner | 5400 Fort St Ste 130, Trenton, MI 48183-4627 | 2018-06-20 |
1952825150 | Rondella Thompson | Nurse Practitioner | 40 Fuld St Ste 201, Trenton, NJ 08638-5247 | 2017-07-29 |
1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
1326406372 | Wanda Graupman | Nurse Practitioner | 2017 S College St, Trenton, TN 38382-3934 | 2016-02-05 |
1467829515 | Kelly Pulley | Nurse Practitioner | 2017 South College St, Trenton, TN 38382 | 2015-08-25 |
1962800060 | Laura Jansen | Nurse Practitioner | 409 E Broadway, Trenton, IL 62293 | 2014-12-05 |
1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
Find all providers in TRENTON |
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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.