GLYNN WHIDDON ODOM (NPI# 1447275490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447275490 |
| Entity Type | Individual |
| Full Name | GLYNN WHIDDON ODOM |
| Credential | CRNA |
| Practice Address |
200 Medical Center Drive Fort Payne AL 35967 |
| Mailing Address |
Po Box 680045 Fort Payne AL 35968-1601 |
| Practice Telephone | 2568453150 |
| Mailing Telephone | 2566350991 |
| Mailing Fax Number | 2566350992 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-020588 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 MEDICAL CENTER DRIVE |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529327 | Gregory Shawn Wheeler | Nurse Practitioner | 200 Medical Center Drive, Fort Payne, AL 35968-3458 | 2009-02-04 |
| 1083810592 | Steve L Nunley | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967-0000 | 2007-06-22 |
| 1326169343 | Dekalb Radiology | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-04-03 |
| 1710030689 | Bradley M Cochran | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-01-22 |
| 1891848784 | Dekalb Radiologist Group, LLC | Radiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2007-01-22 |
| 1376625863 | Dekalb Anesthesia Associates, LLC | Anesthesiology | 200 Medical Center Drive, Fort Payne, AL 35968 | 2006-10-20 |
| 1891703336 | Bart Mitchell Bailey | Anesthesiology | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-08-03 |
| 1639192891 | Fort Payne Hospital Corporation | Psychiatric Unit | 200 Medical Center Drive, Fort Payne, AL 35968 | 2006-07-26 |
| 1568485480 | Billy Alfred Hodges | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-25 |
| 1396764395 | Fort Payne Clinic Corp. | Orthopaedic Surgery | 200 Medical Center Drive, Attn: Director of Physician Practices, Fort Payne, AL 35960 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1720112014 | Dekalb County Mr Board | Case Management | 117 First St Nw, Fort Payne, AL 35967 | 2007-03-16 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| 1972935898 | Graceful Gynecology, Inc. | Clinic/Center | 2114 Gault Ave N, Fort Payne, AL 35967 | 2013-08-01 |
| Find all providers in zip 35967 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850940 | Andrew Thomas Hunter | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2020-04-22 |
| 1194147041 | Nicholas Chivers | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2014-01-13 |
| 1326460270 | Jeremiah Griffin | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2014-01-13 |
| 1134468176 | Tonya Leigh Fox | Nurse Anesthetist, Certified Registered | 200 Medical Center Dr Sw, Fort Payne, AL 35968-3458 | 2013-02-12 |
| 1083810592 | Steve L Nunley | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967-0000 | 2007-06-22 |
| 1568485480 | Billy Alfred Hodges | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-25 |
| 1891710331 | Jerry Lynn Earnest | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360525 | Emily Rhyne Summerlin | Nurse Anesthetist, Certified Registered | 349 Washington St, Benton, AL 36785-5425 | 2020-06-12 |
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1740838820 | Kristi Kell Falco | Nurse Anesthetist, Certified Registered | 200 Broad St # 300, Gadsden, AL 35901-3754 | 2019-08-31 |
| 1013570803 | Amber Lynne Denaburg | Nurse Anesthetist, Certified Registered | 261 County Road 1403, Cullman, AL 35058-0596 | 2019-04-17 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1366906521 | Tanner Medical Center Alabama Inc | Nurse Anesthetist, Certified Registered | 1032 Main St S, Wedowee, AL 36278-7440 | 2019-01-22 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1568974327 | Cahaba Valley Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 632 2nd Street North, Alabaster, AL 35007 | 2017-11-01 |
| Find all providers with the same taxonomy | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
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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.