DR. WILLIAM DOUGLAS ODELL (NPI# 1306105689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306105689 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DOUGLAS ODELL |
| Other Name | PROF. WILLIAM DOUGLAS ODELL |
| Practice Address |
5445 Cottonwood Canyon Road Wilson WY 83014 |
| Mailing Address |
P.o. Box 76 Wilson WY 83014-0076 |
| Practice Telephone | 3077334360 |
| Mailing Telephone | 3077334360 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 165160-1205 | UT | Other Service Providers |
| Y | 174400000X | Specialist | 5921A | WY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700079779 | William Allan Odell | Case Manager/Care Coordinator | 931 14th St Se, Mason City, IA 50401-6916 | 2007-08-23 |
| Street Address |
5445 COTTONWOOD CANYON ROAD |
| City | WILSON |
| State | WY |
| Zip Code | 83014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1578121588 | Nina Clark Lex | Physical Therapist | 1230 N Fall Creek Rd, Wilson, WY 83014 | 2019-06-04 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1902307952 | Joseph Anthony Sorge | Medical Genetics | 5320 Pine Meadow Road, Wilson, WY 83014 | 2018-02-26 |
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1740657261 | Peter Moffatt | Counselor | 7905 South Fall Creek Road, Wilson, WY 83014 | 2015-09-01 |
| 1669722419 | Jeremy Silcox | Social Worker | 7905 Fall Creek Rd., Wilson, WY 83014 | 2012-09-19 |
| 1649533811 | Harriet Elizabeth Wardle | Social Worker | 3850 N Wilderness Dr, Wilson, WY 83014 | 2012-06-21 |
| 1205197043 | Laura Lea Perez | Psychologist | 3850 North Wilderness Dr., Wilson, WY 83014 | 2012-06-07 |
| 1619287414 | Stanford B Trachtenberg | Radiology | 3680 Lake Creek Drive, Wilson, WY 83014 | 2010-10-14 |
| Find all providers in zip 83014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184174393 | Dean Woodmencey | Specialist | 4030 West Lake Creek Dr., Wilson, WY 83014 | 2016-10-12 |
| 1942577929 | Charles Cole Victor Vertz | Specialist | 704-a College St, Barton College, Wilson, NC 27893 | 2011-11-19 |
| 1285965780 | Parker Medical Agency | Specialist | 1901 Tarboro St Sw, 206, Wilson, NC 27893-3433 | 2010-01-22 |
| 1356581011 | Jacques F Roux | Specialist | 3625 Lakecreek Rd., Wilson, WY 83014 | 2009-02-20 |
| 1922208784 | Debbie B Phillips | Specialist | 303 Nash St W, Wilson, NC 27893-3834 | 2007-07-20 |
| 1063555902 | North Carolina School for The Deaf | Specialist | 1311 Us Highway 301 N, Wilson, NC 27893-4331 | 2007-02-14 |
| 1427007749 | Carla E. Stoddard | Specialist | 704a College St Ne, Barton College, Wilson, NC 27893-3104 | 2006-05-06 |
| 1588627996 | David R Haas | Specialist | 1707 Medical Pk Dr, Suite 1, Wilson, NC 27893-2788 | 2006-04-07 |
| 1740284272 | David Corbett | Specialist | 2874 Ward Blvd, Wilson, NC 27893-1761 | 2005-06-13 |
| 1164424453 | George E Newsome | Specialist | 1704 Medical Park Dr W, Wilson, NC 27893-2705 | 2005-06-01 |
| Find all providers in WILSON | ||||
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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.