KEVIN BRUCE O'DELL (NPI# 1588615124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588615124 |
| Entity Type | Individual |
| Full Name | KEVIN BRUCE O'DELL |
| Credential | MD |
| Practice Address |
566 Ruin Creek Rd Henderson NC 27536-2927 |
| Mailing Address |
1200 Still Forest Ct Gastonia NC 28056-6607 |
| Practice Telephone | 2524361164 |
| Practice Fax Number | 2524330280 |
| Mailing Telephone | 7044733507 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 000039312 | NC | Other Service Providers |
| N | 207P00000X | Emergency Medicine | 39312 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BSNC | 63666 | 01 |
| NC | 8963666 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700952678 | Kevin James O'dell | Chiropractor | 28245 Southfield Rd, Lathrup Village, MI 48076-2863 | 2006-11-24 |
| 1295813004 | Kevin S. O'dell | Psychiatry & Neurology | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| Street Address |
566 RUIN CREEK RD |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295904 | Henderson Emergency Physicians, Pllc | Emergency Medicine | 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 | 2005-06-16 |
| 1639777212 | Clarissa Stephens | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-15 |
| 1447857016 | Victoria Mccloskey | Occupational Therapist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-06 |
| 1649883190 | Gloria Eun-sun Chun | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-5932 | 2020-08-25 |
| 1386270460 | Jacob Keith Poe | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-03-20 |
| 1821554643 | Claudia Kostich | Specialist/Technologist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-17 |
| 1407312424 | Kevin Austin Rapp | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-14 |
| 1265905780 | Shakiera Whyte | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-01-08 |
| 1174006902 | Dlp Maria Parham Physician Practices LLC | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
| 1083197818 | Dlp Maria Parham Physician Practices LLC | Surgery | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| 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 |
|---|---|---|---|---|
| 1386018141 | Robert Gannon | Specialist | 1689 Sebring Hills Dr, Henderson, NV 89052-6930 | 2015-11-17 |
| 1992135149 | Jennifer Coon | Specialist | 158 Coyote Hills St, Henderson, NV 89012-6003 | 2013-11-24 |
| 1528325990 | Gary Stephen Marrone | Specialist | 5 Quail Hollow Dr, Henderson, NV 89014-2144 | 2012-04-23 |
| 1194094870 | Jeffrey Allyn Gahr | Specialist | 391 Marlin Cove Rd, Henderson, NV 89012-4830 | 2011-12-23 |
| 1639308943 | Robert David Lieberman | Specialist | 866 Seven Hills Dr Ste 201, Henderson, NV 89052 | 2009-07-08 |
| 1811139041 | Warren Hankins Md,pc. | Specialist | 9053 S Pecos Rd Ste 3000, Henderson, NV 89074-7179 | 2009-04-02 |
| 1114176427 | Healthy Connections By Joanie | Specialist | 2 Commerce Center Dr, Suite A-10, Henderson, NV 89014-2334 | 2008-09-10 |
| 1760679161 | Joseph P Klein | Specialist | 623 Pinetop Lake St, Henderson, NV 89002-0922 | 2007-09-28 |
| 1043419229 | Billy J Greenville | Specialist | 709 S Main St, Henderson, TX 75654-3946 | 2007-07-17 |
| 1619194768 | Nutan K Parikh Md Ltd Apc | Specialist | 2904 W. Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052 | 2007-04-19 |
| Find all providers in HENDERSON | ||||
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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.