DR. AMY J. ODOM (NPI# 1639114739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639114739 |
| Entity Type | Individual |
| Full Name | DR. AMY J. ODOM |
| Credential | DO |
| Practice Address |
800 E Columbia St Mason MI 48854-1381 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 5172448940 |
| Practice Fax Number | 5172448941 |
| Mailing Telephone | 5173646253 |
| Mailing Fax Number | 5173646208 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101015398 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4715270 | 05 | |
| MI | BCBS INDIVIDUAL PIN | 0853311285 | 01 |
| MI | 4767955 | 05 | |
| MI | 4767919 | 05 | |
| MI | 4780643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750863726 | Amy Rebecca Odom | Nurse Practitioner | 100 Memorial Hospital Dr Ste 1a, Mobile, AL 36608-1128 | 2018-09-05 |
| 1659882348 | Amy Covington Odom | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-10-20 |
| 1104187541 | Amy Odom | Speech-Language Pathologist | 1829 E Franklin St, Chapel Hill, NC 27514-5861 | 2012-06-01 |
| 1992093702 | Amy N. Odom | Physical Therapist | 2065 Airport Blvd, Suite 300, Pensacola, FL 32504-5931 | 2011-07-13 |
| Street Address |
800 E COLUMBIA ST |
| City | MASON |
| State | MI |
| Zip Code | 48854-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083668545 | Edward W. Sparrow Hospital Association | Family Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2006-05-20 |
| 1730623257 | Kathleen Reinke | Physician Assistant | 800 E Columbia St, Mason, MI 48854-1381 | 2016-12-19 |
| 1548560378 | Anne E. Suess Md Pllc | Pediatrics | 800 E Columbia St, Ste 3, Mason, MI 48854-1381 | 2010-10-27 |
| 1326203449 | Edward W. Sparrow Hospital | Clinic/Center | 800 E Columbia St, Mason, MI 48854-1381 | 2008-07-29 |
| 1205013976 | Karthik Yadagiri | Physical Therapist | 800 E Columbia St, Mason, MI 48854-1381 | 2008-01-24 |
| 1508054990 | John P Murry | Family Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2007-10-10 |
| 1518184357 | Lisa C Ludwig | Family Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2007-04-20 |
| 1447393145 | Sherry Catherine Cipriano | Emergency Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2007-02-14 |
| 1891884458 | George F. Smith | Family Medicine | 800 E Columbia St, Mason, MI 48854-1381 | 2006-10-12 |
| 1043316680 | Khanghy D Nguyen | Surgery | 800 E Columbia St, Mason, MI 48854-1381 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669919205 | Michael Metcalf | Behavior Technician | 3470 Josephine Lane, Mason, MI 48854 | 2017-01-20 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1417383746 | Melissa F Baker | Counselor | 855 Eaton Drive, Mason, MI 48854 | 2013-09-18 |
| 1881940922 | Jennifer K Ogle | Social Worker | 118 W Oak St Ste 202, Mason, MI 48854 | 2012-07-26 |
| 1326260944 | Douglas W Gray Dds | Dentist | 230 S Temple St, Mason, MI 48854 | 2007-05-03 |
| 1043378185 | Timothy Joseph Zielinski | Dentist | 640 Wash, Mason, MI 48854 | 2006-12-04 |
| 1578635470 | Barbara Ann Begian | Physician Assistant | 790 East Columbia, Care Free Medical Inc, Mason, MI 48854 | 2006-11-15 |
| 1528015336 | University Rehabilitation Alliance, Inc. | Custodial Care Facility | 3181 Sandhill Rd., Mason, MI 48854 | 2006-05-27 |
| 1669428827 | Jeffrey Scott Deweerd | Family Medicine | 710 Temple St, Mason, MI 48854 | 2006-05-26 |
| Find all providers in zip 48854 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053859017 | Mason Family Medicine, Pllc | Family Medicine | 839 S Cedar St, Ste 100, Mason, MI 48854-2063 | 2017-02-09 |
| 1467863365 | Maria Opolka | Family Medicine | 810 Hogsback Rd Ste A, Mason, MI 48854-9396 | 2014-05-13 |
| 1992042899 | Ronald Wayne Stout | Family Medicine | 8700 S Mason Montgomery Rd, Mason, OH 45040-9760 | 2013-01-11 |
| 1457610321 | Achint V Choksy | Family Medicine | 8469 S Mason Montgomery Rd Ste 1, Mason, OH 45040-4001 | 2012-05-11 |
| 1336405364 | Sara Khaja | Family Medicine | 7423 S Mason-montgomery Road, Suite B, Mason, OH 45040-7828 | 2012-04-04 |
| 1528268091 | Mvhe Inc | Family Medicine | 6860 Tylersville Rd Ste 12, Mason, OH 45040-1592 | 2007-07-23 |
| 1497965461 | Westmoreland Family Care Center, Inc | Family Medicine | Rr 1 Box 44b, Mason, WV 25260-9601 | 2007-05-22 |
| 1508081084 | James J Venier | Family Medicine | 610 W Dexter Trl, Mason, MI 48854-9666 | 2007-04-17 |
| 1053431007 | Joe Albert Westwood | Family Medicine | 6162 Nichols Rd, Mason, MI 48854-9519 | 2007-03-30 |
| 1073654075 | Danny Ray Westmoreland | Family Medicine | 16 2nd St, Mason, WV 25260-9677 | 2007-02-11 |
| Find all providers in MASON | ||||
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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.