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DR. ANTHONY OMAVUAYE ODIBO MD NPI 1700889516


NPI Information

NPI: 1700889516
Provider Name: DR. ANTHONY OMAVUAYE ODIBO, MD
Classification: Obstetrics & Gynecology - 207VM0101X
Entity Type: Individual

Specialization: Maternal & Fetal Medicine

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
4901 FOREST PARK AVE
DIV OBGYN MFM / ULTRASOUND, STE 710
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 454-8181
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DR. Anthony Omavuaye Odibo, MD is a maternal and fetal medicine obstetrics gynecology in Saint Louis, MO with 38 years of experience. The provider is an obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. DR. Anthony Omavuaye Odibo, MD NPI is 1700889516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4901 FOREST PARK AVE
DIV OBGYN MFM / ULTRASOUND, STE 710
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 454-8181
Fax: (314) 747-1429

The NPI 1700889516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 11/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VM0101XObstetrics & GynecologyMaternal & Fetal Medicine2021013428MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.