MR. MICHAEL ODELL PA-C NPI 1417969007

NPI Information

  • NPI: 1417969007
  • Provider Name: MR. MICHAEL ODELL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 208 GASLIGHT BLVD
    LUFKIN, TX
    ZIP 75904
  • Phone: (936) 634-8800

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NPI Details

MR. Michael Odell, PA-C is a medical physician assistant in Lufkin, TX with 30 years of experience. MR. Michael Odell, PA-C NPI is 1417969007. 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:

208 GASLIGHT BLVD
LUFKIN, TX
ZIP 75904-166
Phone: (936) 634-8800

The NPI 1417969007 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Injection, orphenadrine citrate, up to 60 mg (HCPCS:J2360)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Application of short leg splint from calf to foot (HCPCS:29515)

The enumeration date for this NPI number is 8/12/2006 and was last updated on 3/21/2025.

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
1363AM0700XPhysician AssistantMedicalPA01789TEXASYes

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: 11/21/2025

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