DR. RANDY O ODERO (NPI# 1417167313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417167313 |
| Entity Type | Individual |
| Full Name | DR. RANDY O ODERO |
| Credential | MD |
| Practice Address |
1930 E Thomas Rd Phoenix AZ 85016-7711 |
| Mailing Address |
7000 N 16th St Ste 120 Phoenix AZ 85020-5524 |
| Practice Telephone | 6025321700 |
| Practice Fax Number | 6025321701 |
| Mailing Telephone | 4057968367 |
| Mailing Fax Number | 6024286999 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 41308 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
41308 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | 41308 | 01 |
| AZ | 438170 | 05 |
| Street Address |
1930 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635092 | Michael Paul Alberti | Emergency Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2005-11-02 |
| 1326678319 | Desiree Little | Nurse Practitioner | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2020-01-19 |
| 1073987376 | Jamie Maberry | Nurse Practitioner | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2015-11-24 |
| 1750768099 | Atlas Anesthesia | Anesthesiology | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2015-05-06 |
| 1508102674 | Joan Marie Huldah White | Specialist/Technologist, Other | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2012-12-18 |
| 1629361936 | Tyler Nicholas Bronnenkant | Emergency Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2011-05-18 |
| 1255640819 | Vhs of Arrowhead, Inc. | General Acute Care Hospital | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2010-09-30 |
| 1518294917 | Diana A Hans | Emergency Medicine | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2009-11-06 |
| 1487894564 | Janice Miiller | Nurse Anesthetist, Certified Registered | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2009-03-02 |
| 1851427512 | Patricia E Thorpe | Radiology | 1930 E Thomas Rd, Phoenix, AZ 85016-7711 | 2007-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942695978 | Odero Consultants | Internal Medicine | 7000 N 16th St Ste 120, Phoenix, AZ 85020-5524 | 2015-04-07 |
| 1417129958 | Victor N. Gan | Internal Medicine | 1526 W Wilshire Dr, Phoenix, AZ 85007-1216 | 2008-03-25 |
| 1205027646 | Phoenix Id LLC | Internal Medicine | 340 E Palm Ln Ste 100, Phoenix, AZ 85004-4528 | 2007-08-08 |
| 1285839795 | Madhuri Segireddy | Internal Medicine | 340 E Palm Lane, A260, Phoenix, AZ 85004 | 2007-06-15 |
| 1356553986 | Desert Valley Infectious Disease Physicians | Internal Medicine | 233 W Lamar Rd, Phoenix, AZ 85013-1219 | 2007-05-04 |
| 1518096270 | Minghsun Liu | Internal Medicine | 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 85028-1661 | 2007-03-05 |
| 1477664605 | Jones O Kumi M D P C | Internal Medicine | 2610 N 3rd St Ste A, Phoenix, AZ 85004-1156 | 2006-08-31 |
| 1790737138 | Patrick Aidan Murphy | Internal Medicine | 57 Blenheim Farm Ln, Phoenix, MD 21131-2136 | 2006-05-16 |
| 1396703757 | Daniel Marino | Internal Medicine | 128 W Marlette Ave, Phoenix, AZ 85013-1524 | 2006-05-03 |
| 1912973041 | Michael J. Gehman | Internal Medicine | 2700 N 3rd St Ste 3045, Phoenix, AZ 85004-4627 | 2006-02-28 |
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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.