DR. DEBRA SUE ODEN (NPI# 1588693949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588693949 |
| Entity Type | Individual |
| Full Name | DR. DEBRA SUE ODEN |
| Credential | M.D. |
| Practice Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 2172226550 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036120586 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 823 Sw Mulvane St, Suite 1, Topeka, KS 666061679 | 7852343451 | 7852342550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831373539 | Debra Rae Oden | Emergency Medical Technician, Basic | 8538 Sw Appleway, Portland, OR 97225 | 2007-12-18 |
| Street Address |
1025 MAINE ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833860 | Don Manarang | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2005-06-28 |
| 1518571546 | Amy E Durst | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2020-09-08 |
| 1477178820 | Bradley Allen Staten | Physician Assistant | 1025 Maine St, Quincy, IL 62301-4038 | 2020-06-11 |
| 1316586613 | Shari W Robesky | Social Worker | 1025 Maine St, Quincy, IL 62301-4038 | 2020-01-03 |
| 1154968675 | Erica A Fitzgerald | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4096 | 2019-12-03 |
| 1366088007 | Paul D Warning | Counselor | 1025 Maine St, Quincy, IL 62301-4096 | 2019-11-18 |
| 1457902884 | Alison J Simmons | Occupational Therapist | 1025 Maine St, Quincy, IL 62301-4096 | 2019-09-26 |
| 1841847464 | Sarah J Thacker | Registered Nurse | 1025 Maine St, Quincy, IL 62301-4096 | 2019-08-19 |
| 1740832252 | Olivia P Rees | Dietitian, Registered | 1025 Maine St, Quincy, IL 62301-4096 | 2019-07-15 |
| 1386206795 | Luke A Ellerman | Nurse Practitioner | 1025 Maine St, Quincy, IL 62301-4038 | 2019-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780016394 | Clinical Radiologists, S.c. | Radiology | 1005 Broadway St, Quincy, IL 62301-2834 | 2013-08-06 |
| 1689010605 | Clinical Radiologists, S.c. | Radiology | 331 S 36th St, Suite 2, Quincy, IL 62301-5840 | 2013-05-16 |
| 1356531495 | Geetanjali Kapoor Kulkarni | Radiology | 114 Whitwell St, Quincy, MA 02169-1870 | 2007-07-25 |
| 1720286073 | Bruno J West | Radiology | 114 Whitwell St, Radiology Dept, Quincy, MA 02169-1870 | 2007-07-09 |
| 1184821894 | Gerald T Riley | Radiology | 1025 Maine St, Quincy, IL 62301-4038 | 2007-06-27 |
| 1720132541 | Carl Warner Carlson | Radiology | 114 Whitwell St, Quincy, MA 02169-1870 | 2007-01-22 |
| 1548226517 | James L Hayes | Radiology | 1250 Hancock St, Quincy, MA 02169-4339 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
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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.