DR. ANDREW K ODIONU (NPI# 1912183591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912183591 |
| Entity Type | Individual |
| Full Name | DR. ANDREW K ODIONU |
| Credential | MD |
| Practice Address |
10835 North 25th Avenue Suite 115 Phoenix AZ 85029-3452 |
| Practice Telephone | 6027890344 |
| Practice Fax Number | 6027898729 |
| Mailing Telephone | 6027890344 |
| Mailing Fax Number | 6027898729 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 40238 | AZ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | Q2038 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD2014-0728 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 363026 | 05 |
| Street Address |
10835 NORTH 25TH AVENUE SUITE 115 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007636 | Frederick Carranza | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-03-16 |
| 1356463160 | Adonis Jabbour | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2007-04-04 |
| 1134229800 | Suresh Uppalapu | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-09-23 |
| 1467560565 | Hemang Mahendra Gandhi | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-4751 | 2006-08-28 |
| 1275590671 | Jack L Schafer | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-04-28 |
| 1982661799 | Mayur A Rathod | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-04-26 |
| 1487610499 | Francisco John G Peralta | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-04-26 |
| 1447213822 | Chinwe J Egbo | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-04-07 |
| 1154390565 | Imad Bouakl | Internal Medicine | 10835 North 25th Avenue, Suite 115, Phoenix, AZ 85029-3452 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1033642830 | Sumeet Gill | Pediatrics | 3805 E Bell Rd Ste 5100, Phoenix, AZ 85032-2174 | 2017-04-07 |
| 1639619968 | Pediatrics Kare LLC | Pediatrics | 7611 W Thomas Rd #co64, Phoenix, AZ 85033-5469 | 2017-03-06 |
| 1508300013 | Pediatrics & Family Kare Pllc | Pediatrics | 13229 N 41st Pl, Phoenix, AZ 85032-6709 | 2016-12-19 |
| 1881058931 | Nima Sekhadia | Pediatrics | 16611 S 40th St Ste 160, Phoenix, AZ 85048-0565 | 2016-04-05 |
| 1134580970 | Pleasant Pediatrics | Pediatrics | 2613 W Campbell Ave, Phoenix, AZ 85017-3770 | 2016-03-08 |
| 1174913826 | Arizona Pediatric Pllc | Pediatrics | 22 E Mitchell Dr, Phoenix, AZ 85012-2340 | 2015-02-03 |
| 1316282288 | Robert Fredrick Beauchamp | Pediatrics | 1 E Washington St, Suite 17, Phoenix, AZ 85004-2492 | 2012-12-04 |
| 1558634212 | Vishwabandhu J. Jhaveri | Pediatrics | 8220 N 23rd Ave, Building # 1, Phoenix, AZ 85021-4872 | 2012-02-10 |
| Find all providers in PHOENIX | ||||
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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.