DR. REYNARD C ODENHEIMER (NPI# 1528158292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528158292 |
| Entity Type | Individual |
| Full Name | DR. REYNARD C ODENHEIMER |
| Credential | M.D. |
| Practice Address |
646 W Mcneese St Lake Charles LA 70605-5558 |
| Practice Telephone | 3374395888 |
| Practice Fax Number | 3374390808 |
| Mailing Telephone | 3374395888 |
| Mailing Fax Number | 3374390808 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD020159 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1684821 | 05 |
| Street Address |
646 W MCNEESE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871993444 | Brett Gschwend | Chiropractor | 646 W Mcneese St, Lake Charles, LA 70605-5558 | 2014-09-02 |
| 1841357761 | Southwest Louisiana Sports and Rehabilitation Center, LLC | Physical Therapist | 646 W Mcneese St, Lake Charles, LA 70605-5558 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861582504 | Fayez Khader Shamieh | Psychiatry & Neurology | 707 S Ryan St, Lake Charles, LA 70601-5728 | 2006-10-13 |
| 1245212455 | Timothy R Best | Psychiatry & Neurology | 707 Dr. Michael Debakey Drive, Lake Charles, LA 70601-5728 | 2005-11-15 |
| 1295103844 | Mmg Nelson Rd LLC | Psychiatry & Neurology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2015-09-11 |
| 1215326756 | Reynard C Odenheimer Md A Professional Medical Corporation | Psychiatry & Neurology | 816 W Bayou Pines Dr, Lake Charles, LA 70601-7077 | 2015-01-22 |
| 1184060923 | Nirmala Tumarada | Psychiatry & Neurology | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2013-05-20 |
| 1316255870 | Murali Krishna Bogavalli | Psychiatry & Neurology | 2750 Aster St, Lake Charles, LA 70601-8824 | 2010-09-18 |
| 1639379670 | Fayez K. Shamieh, M.d. A Medical Corporation | Psychiatry & Neurology | 707 S Ryan St, Lake Charles, LA 70601-5728 | 2007-07-18 |
| 1528034188 | Alan Carl Sconzert | Psychiatry & Neurology | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374746 | Neupro LLC | Psychiatry & Neurology | 17086 Abita Ave, Prairieville, LA 70769-3369 | 2020-07-23 |
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1881056778 | Miguel Federico Molina | Psychiatry & Neurology | 2912 Robert St, New Orleans, LA 70125-5033 | 2016-03-22 |
| 1750743621 | Jessica Chachere Baity | Psychiatry & Neurology | 1542 Tulane Ave Fl 7, New Orleans, LA 70112-2865 | 2016-03-22 |
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1962899872 | Tashfin Samiul Huq | Psychiatry & Neurology | 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301-5078 | 2015-04-17 |
| 1841684263 | Oliver Achi | Psychiatry & Neurology | 2312 E Main St Ste C, New Iberia, LA 70560-4064 | 2015-03-24 |
| 1104232289 | Martha Montgomery Robinson | Psychiatry & Neurology | 1430 Tulane Ave # 8065, New Orleans, LA 70112-2632 | 2014-07-09 |
| 1124439328 | Tanya Kapoor-maini | Psychiatry & Neurology | 120 Ochsner Blvd Ste 320, Gretna, LA 70056 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on DR. REYNARD C ODENHEIMER.
| 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.