DR. RICHARD D. ODOM D.P.M. NPI 1841251790

NPI Information

NPI: 1841251790
Provider Name: DR. RICHARD D. ODOM, D.P.M.
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
1670 CLAIRMONT RD
DECATUR, GA
ZIP 30033
Phone: (404) 321-6111
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DR. Richard D. Odom, D.P.M. is a podiatrist in Decatur, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Richard D. Odom, D.P.M. NPI is 1841251790. 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:

1670 CLAIRMONT RD
DECATUR, GA
ZIP 30033-004
Phone: (404) 321-6111

The enumeration date for this NPI number is 3/30/2006 and was last updated on 10/9/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		812	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T15089	MEDICARE UPIN	TEXAS
2	86J274	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	1215584-02	MEDICAID	TEXAS
4	480030644	OTHER	TEXAS	RR/MEDICARE
5	86J274	OTHER	TEXAS	BLUE SHIELD
6	1215584-01	OTHER	TEXAS	CSHCN

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

NPI Synchronization or Removal

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