DR. STEPHEN G. ODOM (NPI# 1770525107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770525107 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN G. ODOM |
| Credential | M.D. |
| Practice Address |
1005 N Tennessee Blvd Murfreesboro TN 37130-2653 |
| Practice Telephone | 6158931615 |
| Practice Fax Number | 6158932747 |
| Mailing Telephone | 6158931615 |
| Mailing Fax Number | 6158932747 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 6332 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA ID NUMBER | 44D0307626 | 01 | |
| TN | CIGNA | 2604322 | 01 |
| TN | BLUE CROSS | 2006264 | 01 |
| TN | 3156890 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821239062 | Stephen A Odom | Marriage & Family Therapist | 6700 E Pacific Coast Hwy Ste 287, Long Beach, CA 90803-4234 | 2009-03-18 |
| 1740253749 | Stephen Odom | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2006-02-09 |
| 1639153257 | Stephen Ray Odom II | Surgery | 14 Medical Park Dr, Asheville, NC 28803-2493 | 2005-12-06 |
| Street Address |
1005 N TENNESSEE BLVD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932631421 | Ogonna Eze | Internal Medicine | 1700 Medical Center Pkwy Dept Of, Murfreesboro, TN 37129-2245 | 2017-04-03 |
| 1013276963 | Charles T Wolohon, Md | Internal Medicine | 1608 Williams Dr, Ste 202, Murfreesboro, TN 37129-3194 | 2012-05-14 |
| 1184944407 | Doctors Urgent Care LLC | Internal Medicine | 3163 S Church St, Suite B, Murfreesboro, TN 37127-7174 | 2010-06-09 |
| 1881856078 | Ram Narayan Kaveer Nandigam | Internal Medicine | 516 Uptown Sq, Murfreesboro, TN 37129-0589 | 2008-06-28 |
| 1669646964 | James W Garner Jr Md PC | Internal Medicine | 503 Highland Ter Ste D, 503 D Highland Terrace, Murfreesboro, TN 37130-2421 | 2008-04-17 |
| 1275717282 | Good Health Associates, Pllc | Internal Medicine | 625 North Highland Avenue, Murfreesboro, TN 37130 | 2007-12-27 |
| 1043351471 | Vlada Melekhin | Internal Medicine | 1800 Medical Center Pkwy Ste 400, Murfreesboro, TN 37129-3181 | 2007-02-09 |
| 1508913377 | Total Family Care | Internal Medicine | 1450 Battleground Dr, Murfreesboro, TN 37129-4424 | 2007-01-04 |
| 1831269406 | James William Garner Jr. | Internal Medicine | 503 D Highland Terrace, Murfreesboro, TN 37130 | 2006-11-09 |
| 1558448423 | Charles T Wolohon | Internal Medicine | 1608 Williams Dr., Ste 202, Murfreesboro, TN 37129 | 2006-10-31 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
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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.