FRED OCHIENG ODAGO MD NPI 1356872238

NPI Information

NPI: 1356872238
Provider Name: FRED OCHIENG ODAGO, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: KENTUCKYONE HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1021 MAJESTIC DR STE 200
LEXINGTON, KY
ZIP 40513
Phone: (859) 296-1922
Get Directions

Fred Ochieng Odago, MD is a neurology psychiatry neurology in Lexington, KY with 8 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Fred Ochieng Odago, MD NPI is 1356872238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1021 MAJESTIC DR STE 200
LEXINGTON, KY
ZIP 40513-867
Phone: (859) 296-1922
Fax: (859) 224-8721

The NPI 1356872238 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 3/23/2017 and was last updated on 6/14/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	55211	KENTUCKY	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	R4566	KENTUCKY	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No

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	7100543080	MEDICAID	KENTUCKY

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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