Provider Type Icon

ERIC AVRAM ODESSEY MD NPI 1811143316


NPI Information

NPI: 1811143316
Provider Name: ERIC AVRAM ODESSEY, MD
Classification: Plastic Surgery - 208200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
20 GLENLAKE PKWY
KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA
ZIP 30328
Phone: (404) 365-0966
Get Directions

Eric Avram Odessey, MD is a plastic surgery in Atlanta, GA with 21 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. Eric Avram Odessey, MD NPI is 1811143316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

20 GLENLAKE PKWY
KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA
ZIP 30328-473
Phone: (404) 365-0966
Fax: (607) 772-8567

The NPI 1811143316 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 8/15/2008 and was last updated on 1/7/2022.


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
1208200000XPlastic Surgery036.115100ILLINOISNo
2208200000XPlastic Surgery257461NEW YORKNo
3208200000XPlastic Surgery66232GEORGIAYes

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: 4/28/2024

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.