John Andrew Odell in Jacksonville - Thoracic Surgery (cardiothoracic Vascular Surgery)
John Andrew Odell - NPI 1093702045
John Andrew Odell is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Jacksonville, Florida. John Andrew Odell practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for John Andrew Odell is 1093702045. The last update date is 2012-11-06.
John Andrew Odell's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for John Andrew Odell is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew Odell |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093702045 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2012-11-06 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | ME70692 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 780000637 | FL | RAILROAD MEDICARE | |
| 31599 | FL | BLUECROSS/BLUESHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to John Andrew Odell by the Centers for Medicare & Medicaid Services?
The John Andrew Odell has been issued the NPI (National Provider Identifier) 1093702045. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John Andrew Odell is physically located?
The John Andrew Odell is physically situated at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is John Andrew Odell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Andrew Odell's specialized field of practice is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of specialization is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093702045 to John Andrew Odell?
The Centers for Medicare & Medicaid Services originally issued the 1093702045 to John Andrew Odell on 2005-10-04.
When was the information regarding John Andrew Odell most recently updated?
The details pertaining to the John Andrew Odell, including its address, specialty, and other relevant information, were last refreshed on 2012-11-06.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO