DR. IAN DOUGLAS ODELL


Address: 333 Cedar St Bldg Lmp, Room 5040, New Haven, CT 06510-3206
Phone: 2037854092

DR. IAN DOUGLAS ODELL (NPI# 1457627531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457627531
Entity Type Individual
Full Name DR. IAN DOUGLAS ODELL
Credential M.D., PH.D.
Practice Address 333 Cedar St Bldg Lmp
Room 5040
New Haven
CT 06510-3206
Mailing Address 15 York St
Room 5040
New Haven
CT 06510-3221
Practice Telephone 2037854092
Mailing Telephone 2037854092
Enumeration Date 2012-03-22
Last Update Date 2016-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 55057 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 333 CEDAR ST BLDG LMP
ROOM 5040
City NEW HAVEN
State CT
Zip Code 06510-3206

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336757319 Matthew Peter O'connell Pharmacist 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 2020-07-16
1477171460 Huy Henry Le Pharmacist 20 York Street, Ps-ll, New Haven, CT 06510 2020-07-07
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1346898467 Cem Cengiz Internal Medicine Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 2019-09-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1336551589 Alicia Joan Little Dermatology 333 Cedar St, Dermatology, New Haven, CT 06520-8059 2014-05-22
1346425071 Oscar Rene Colegio Dermatology Yale-new Haven Hospital, 20 York Street, T-209, New Haven, CT 06510 2007-12-31
1639377690 Dermatology Associates P.C. Dermatology 1 Long Wharf Dr # 30, New Haven, CT 06511-5991 2007-07-10
1649218223 Lisa Marian Donofrio Dermatology 134 Park St, New Haven, CT 06511-5409 2006-06-03
1841258282 Christine J Ko Dermatology 15 York Street, Lmp 5031, New Haven, CT 06510 2006-05-03
1245744846 Tdg Connecticut Pllc Dermatology 134 Park St, New Haven, CT 06511-5409 2017-11-20
1497104822 Anna S Eisenstein Dermatology 15 York Street, Lmp 5040, New Haven, CT 06510-3220 2016-06-07
1083063549 Nan Guo Ring Dermatology 15 York Street, Ynhh Dept of Medicine, Lmp 1092, New Haven, CT 06520-8030 2016-06-06
1700248143 Ian William Tattersall Dermatology 20 York St, Ynhh Dermatology, New Haven, CT 06510-3220 2016-03-24
Find all providers in NEW HAVEN

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City NEW HAVEN
Zip Code 06510

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Dataset Information

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.

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