ALBERT E ODOM JR. (NPI# 1790737997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790737997 |
Entity Type | Individual |
Full Name | ALBERT E ODOM JR. |
Credential | MD |
Practice Address |
300 Palmetto Health Pkwy Ste 300 Columbia SC 29212-1763 |
Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
Practice Telephone | 8039077300 |
Practice Fax Number | 8039077309 |
Mailing Telephone | 8032967320 |
Mailing Fax Number | 8032967330 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2018-04-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
12029 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 120292 | 05 |
Street Address |
300 PALMETTO HEALTH PKWY STE 300 |
City | COLUMBIA |
State | SC |
Zip Code | 29212-1763 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225006372 | Jennifer M Risinger | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2006-03-14 |
1083101471 | Palmetto Health - University of South Carolina Medical Group | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2018-04-20 |
1417323213 | Mattie Kristen Brazell Julian | Nurse Practitioner | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2015-08-15 |
1588046411 | Lawren Evelyn Honken | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2015-06-27 |
1891759916 | Mark David Wild | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245758887 | Amanda Gail Holloman | Pharmacist | 6021 St. Andrews Road, Columbia, SC 29212 | 2017-09-04 |
1578080180 | Alvin Mitchell Jr. | Non-emergency Medical Transport (VAN) | 10 Breezewood Court, Columbia, SC 29212 | 2017-08-24 |
1467975102 | Shelby Clemmer | Behavior Technician | 2 Harbison Way, Columbia, SC 29212 | 2017-07-25 |
1982149019 | Showntellem | Private Vehicle | 336 Foxfire Dr, Columbia, SC 29212 | 2016-12-28 |
1902215296 | Miranda Willis Adult Day Care, LLC | Social Worker | 5932 Mcmillian Circle, Columbia, SC 29212 | 2014-08-12 |
1013342591 | Robert Glendon Long | Pediatrics | 15 Woodpine Ct, Columbia, SC 29212 | 2013-09-04 |
1174969638 | Melinda Dumas Crenshaw | Psychologist | 2800 Ashland Rd., Columbia, SC 29212 | 2013-05-10 |
1417209982 | Physician Services LLC | Internal Medicine | 214 Lake Front Drive, Physician Services, Cola, SC 29212 | 2012-10-09 |
1306131800 | Rocky Mountain Holdings LLC | Ambulance | 6015 Saint Andrews Rd, Columbia, SC 29212 | 2011-06-13 |
1023262839 | Candace Anne Aguiar | Nurse Anesthetist, Certified Registered | 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 | 2008-11-06 |
Find all providers in zip 29212 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043638620 | Adair County Hospital District | Obstetrics & Gynecology | 902 Westlake Dr Ste 107, Columbia, KY 42728-1149 | 2014-04-01 |
1326316803 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 90 Summit Centre Dr, Columbia, SC 29229-6926 | 2011-12-12 |
1386880672 | Juliet Chhay Bishop | Obstetrics & Gynecology | 2 Medical Park Rd Ll9/10, Columbia, SC 29203-6839 | 2008-12-17 |
1649340225 | Susan Thomas Gray | Obstetrics & Gynecology | 1394 Hatcher Ln, Columbia, TN 38401-3568 | 2006-11-09 |
1689644221 | Eric Steven Spotts | Obstetrics & Gynecology | 114 Gateway Corporate Blvd, Suite 350, Columbia, SC 29203-9740 | 2006-01-25 |
1679136873 | Jamie Lee Hamilton | Obstetrics & Gynecology | 460 Clemson Rd, Columbia, SC 29229-7925 | 2019-04-15 |
1083101471 | Palmetto Health - University of South Carolina Medical Group | Obstetrics & Gynecology | 300 Palmetto Health Pkwy Ste 300, Columbia, SC 29212-1763 | 2018-04-20 |
1477880953 | Woman To Woman Obstetric and Gynecologic Associates, P.a. | Obstetrics & Gynecology | 576 State Route 94, Columbia, NJ 07832-2523 | 2009-11-04 |
1053573501 | Dana C. Baras | Obstetrics & Gynecology | 10710 Charter Dr, Suite 200, Columbia, MD 21044-3128 | 2008-06-26 |
1508964859 | Romeo Pozon Perez | Obstetrics & Gynecology | 4500 Stuart St, Moncrief Army Community Hospital, Columbia, SC 29207-5700 | 2006-09-20 |
Find all providers in COLUMBIA |
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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.