DR. DWIGHT WILLIAM O'DELL M.D. NPI 1194770933

NPI Information

NPI: 1194770933
Provider Name: DR. DWIGHT WILLIAM O'DELL, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
4550 MEMORIAL DR
STE 200
BELLEVILLE, IL
ZIP 62226
Phone: (618) 233-5998
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DR. Dwight William O'dell, M.D. is a gynecology obstetrics gynecology in Belleville, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Dwight William O'dell, M.D. NPI is 1194770933. 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:

4550 MEMORIAL DR
STE 200
BELLEVILLE, IL
ZIP 62226-359
Phone: (618) 233-5998
Fax: (618) 233-6001

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/18/2007.

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	207VG0400X	Obstetrics & Gynecology	Gynecology		ILLINOIS	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	C46175	MEDICARE UPIN	ILLINOIS
2	K31263	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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