Debra S Odom (NPI# 1316905110, PAC ID# 8628067576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316905110 |
| PAC ID by PECOS | 8628067576 |
| Professional Enrollment ID | I20040507000207 |
| Full Name | Debra S Odom |
| Organization Legal Name | SOUTHSIDE DERMATOLOGY PLLC |
| Address |
5801 E 41st St Suite 200 Tulsa OK 74135-5627 |
| Phone Number | 9187600700 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234487554 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5801 E 41st St, Suite 200, Tulsa, OK 74135-5627 | 9187600700 | SOUTHSIDE DERMATOLOGY PLLC |
| Organization Legal Name | SOUTHSIDE DERMATOLOGY PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Fischer | Dermatology | Southside Dermatology Pllc | 5801 E 41st St, Suite 200, Tulsa, OK 74135-5627 |
| Alison A Fischer | Dermatology | Southside Dermatology Pllc | 5801 E 41st St, Suite 200, Tulsa, OK 74135-5627 |
| Street Address |
5801 E 41ST ST SUITE 200 |
| City | TULSA |
| State | OK |
| Zip | 74135-5627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Fischer | Dermatology | Southside Dermatology Pllc | 5801 E 41st St, Suite 200, Tulsa, OK 74135-5627 |
| Alison A Fischer | Dermatology | Southside Dermatology Pllc | 5801 E 41st St, Suite 200, Tulsa, OK 74135-5627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald R Barney | Family Medicine | 5906 E 31 St St, Suite 2, Tulsa, OK 74135 | |
| Joanne L Alderman | Clinical Nurse Specialist | 4134 E 31st St, Tulsa, OK 74135-1511 | |
| Robert Fenell | Chiropractic | 3515 E 31st St, Suite B, Tulsa, OK 74135-1520 | |
| Jeff R Finkenstaedt | Podiatry | 3540 E 31st St, Suite 2, Tulsa, OK 74135-1526 | |
| Marcia L Gran | Chiropractic | 3540 E 31st St, Suite 1, Tulsa, OK 74135-1526 | |
| Sabrina Nicole Cutright | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Carl D Radloff | Chiropractic | Peoria Medical LLC | 3345 S Harvard, Suite 101, Tulsa, OK 74135-1800 |
| Trevor Ryan Mckay | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Megan Mckinney | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Ryan Matthew Smith | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Find all physicians in zip 74135 | |||
| City | TULSA |
| Zip Code | 74135 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TULSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Debra S 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.