Michael Stephen Odom (NPI# 1093197980, PAC ID# 3072801117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093197980 |
| PAC ID by PECOS | 3072801117 |
| Professional Enrollment ID | I20180321000466 |
| Full Name | Michael Stephen Odom |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Address |
103 Whitetail Dr Walhalla SC 29691-5837 |
| Phone Number | 8646383444 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325950983 |
| Number of Group Practice Members | 1439 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420009 | GHS OCONEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 Whitetail Dr, Walhalla, SC 29691-5837 | 8646383444 | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Organization Legal Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP |
| Physicians | 1371 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Edge Thomas | Nurse Practitioner | Prisma Health University Medical Group | 9100 Hwy 14, Gray Court, SC 29645-4152 |
| Shiven S Patel | Allergy/immunology | Prisma Health University Medical Group | 10 Halton Green Way, Greenville, SC 29607-6606 |
| Jamie C Goodman | Family Medicine | Prisma Health University Medical Group | 2400 Boiling Springs Rd, Suite A, Boiling Springs, SC 29316-5304 |
| Karyn Marie Dyehouse | Medical Oncology | Prisma Health University Medical Group | 131 Lila Doyle Dr, Seneca, SC 29672-9495 |
| Doris A Best | Family Medicine | Prisma Health University Medical Group | 3551 A Rutherford Rd, Taylors, SC 29687-2195 |
| Elizabeth Ann Lacy | Nurse Practitioner | Prisma Health University Medical Group | 106 John St, Easley, SC 29640-1415 |
| Rebecca Anne Frost | Psychiatry | Prisma Health University Medical Group | 109 Physicians Dr, Suite B, Greer, SC 29650-2446 |
| Elizabeth Van Huffel Dray | Urology | Prisma Health University Medical Group | 11 Park Creek Dr, University Medical Group, Greenville, SC 29605-4268 |
| Jonathan Douglas Hufford | Obstetrics/gynecology | Prisma Health University Medical Group | 1351 Crestview Rd, Easley, SC 29642-2408 |
| Nathan Michael Moroski | Sports Medicine | Prisma Health University Medical Group | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4545 |
| Street Address |
103 WHITETAIL DR |
| City | WALHALLA |
| State | SC |
| Zip | 29691-5837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Caroline Fabry | Family Medicine | Prisma Health University Medical Group | 103 Whitetail Dr, Walhalla, SC 29691-5837 |
| Teresa Lynn Brown | Family Medicine | Prisma Health University Medical Group | 103 Whitetail Dr, Walhalla, SC 29691-5837 |
| Keri M Dickson | Nurse Practitioner | Prisma Health University Medical Group | 103 Whitetail Dr, Walhalla, SC 29691-5837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Martin Lander | Chiropractic | Testarossa Health, Inc | 206 W Main St, Walhalla, SC 29691-1931 |
| Kristin Emmel Schaffer | Chiropractic | Testarossa Health, Inc | 206 W Main St, Walhalla, SC 29691-1931 |
| Dana E Kuhl | Optometry | Medivision Pa | 105 N Earle St, Walhalla, SC 29691-2419 |
| Derek Vanveen | Optometry | Medivision Pa | 105 N Earle St, Walhalla, SC 29691-2419 |
| Billy Jenkins | Optometry | Medivision Pa | 105 N Earle St, Walhalla, SC 29691-2419 |
| City | WALHALLA |
| Zip Code | 29691 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WALHALLA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Stephen Odom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.