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DR. MICHAEL RYAN ODOM M.D. NPI 1700175536


NPI Information

NPI: 1700175536
Provider Name: DR. MICHAEL RYAN ODOM, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14402 E SPRAGUE AVE
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 922-2625
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DR. Michael Ryan Odom, M.D. is a family medicine in Spokane Valley, WA with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Michael Ryan Odom, M.D. NPI is 1700175536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2011

The provider's business location address is:

14402 E SPRAGUE AVE
SPOKANE VALLEY, WA
ZIP 99216-167
Phone: (509) 922-2625
Fax: (877) 521-3642

The NPI 1700175536 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 4/1/2011 and was last updated on 2/16/2024.


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
1207Q00000XFamily Medicine2014-00995NORTH CAROLINANo
2207Q00000XFamily Medicine48734IOWANo
3207Q00000XFamily Medicine26919NEBRASKANo
4207Q00000XFamily Medicine16240NEVADANo
5207Q00000XFamily MedicineM-15606IDAHOYes

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: 5/5/2024

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.