SUSAN ODOM (NPI# 1083028849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083028849 |
| Entity Type | Individual |
| Full Name | SUSAN ODOM |
| Credential | RN |
| Practice Address |
1100 E Wendover Ave Greensboro NC 27405-6713 |
| Mailing Address |
4007 Hazel Ln Greensboro NC 27408-3191 |
| Practice Telephone | 3366414135 |
| Mailing Telephone | 3362992196 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
248328 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043481195 | Susan Dean Odom | Psychologist | 24123 Boerne Stage Rd, Suite 430, San Antonio, TX 78255-9403 | 2008-03-17 |
| 1497788335 | Susan P Odom | Physical Therapist | 1800 Westwind Dr, #107, Bakersfield, CA 93301-3055 | 2006-07-07 |
| Street Address |
1100 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284316 | Mark David Hill | Dentist | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2006-04-14 |
| 1821605080 | Morenike Kritzer | Nurse Practitioner | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-30 |
| 1790391563 | Michelle Lee Woolverton | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-17 |
| 1841804440 | Anna Minnick | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-02 |
| 1114558483 | Samantha Scales Boyd | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-01-27 |
| 1811544729 | Rachel Duncan Hunter | Dietitian, Registered | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-08-26 |
| 1336793157 | Jahci Heath | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-07-30 |
| 1205497666 | Beverly Louya Lance | Nurse's Aide | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-06-26 |
| 1760949259 | Nigar Hasanaliyeva | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-21 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351847 | The Moses H. Cone Memorial Hospital Operating Corporation | Obstetrics & Gynecology | 801 Green Valley Rd, Greensboro, NC 27408-7021 | 2019-05-15 |
| 1942532239 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 1126 N Church St, Suite 203, Greensboro, NC 27401-1027 | 2010-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770839458 | Novant Medical Group, Inc | Obstetrics & Gynecology | 19475 Old Jetton Rd, Cornelius, NC 28031-6591 | 2012-07-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1548478019 | Elizabeth Bates Ausbeck | Obstetrics & Gynecology | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2007-05-18 |
| 1609926294 | Atlantic Fetal Medicine Pa | Obstetrics & Gynecology | 411 Western Blvd Ste C, Jacksonville, NC 28546-6822 | 2007-01-12 |
| 1124189600 | Jacqueline H Grant | Obstetrics & Gynecology | Unc Hospitals and Clinics 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-12 |
| 1245314301 | Andra H. James | Obstetrics & Gynecology | 2608 Erwin Rd Ste 200, Durham, NC 27705-4597 | 2006-10-25 |
| 1093802191 | Nancy Chescheir | Obstetrics & Gynecology | Unc School of Medicine Dept of Ob Gyn, Cb 7516 Old Clinic Building 3010, Chapel Hill, NC 27599-0001 | 2006-10-09 |
| 1801904123 | Neeta L Vora | Obstetrics & Gynecology | Unc Department of Ob Gyn Division of Mfm, 3010 Old Clinic Bldg./cb# 7516, Chapel Hill, NC 27599-0001 | 2006-08-27 |
| 1700991296 | William Harold Goodnight IIi IIi | Obstetrics & Gynecology | 3010 Old Clinic Building, Campus Box 7516, Chapel Hill, NC 27599-0001 | 2006-08-21 |
| 1477533115 | Heather Mertz | Obstetrics & Gynecology | 10660 Park Rd, Ste 4300, Charlotte, NC 28210-8413 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.