WILLIAM THOMAS ODOM II (NPI# 1598717167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598717167 |
| Entity Type | Individual |
| Full Name | WILLIAM THOMAS ODOM II |
| Credential | M.D. |
| Practice Address |
7921 Broad River Rd Irmo SC 29063-2358 |
| Mailing Address |
Po Box 1997 Irmo SC 29063-1997 |
| Practice Telephone | 8037498585 |
| Practice Fax Number | 8037498909 |
| Mailing Telephone | 8037498585 |
| Mailing Fax Number | 8037498909 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
16893 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1452 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784338 | William S Odom Jr. | Dentist | 424 9th St, Suite #1, Columbus, GA 31901-2895 | 2005-07-16 |
| 1235554684 | William Odom IIi | Dentist | 5256 S Mission Rd, 1101, Bonsall, CA 92003-3614 | 2014-02-21 |
| Street Address |
7921 BROAD RIVER RD |
| City | IRMO |
| State | SC |
| Zip Code | 29063-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629627757 | Progressive Chiropractic & Orthopedic | Chiropractor | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2019-09-11 |
| 1245773134 | Jennifer Rish | Specialist/Technologist, Other | 7921 Broad River Rd, Suite 200, Irmo, SC 29063-2358 | 2016-11-23 |
| 1225571110 | Dana Taylor | Specialist/Technologist, Other | 7921 Broad River Rd, Suite 200, Irmo, SC 29063-2358 | 2016-11-23 |
| 1184099202 | Janine Reed | Specialist/Technologist, Other | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2015-12-01 |
| 1477928588 | Joanne Dimirra | Specialist/Technologist, Other | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2015-12-01 |
| 1639544752 | Rachel Swygert | Specialist/Technologist, Other | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2015-12-01 |
| 1649645763 | Lindsay Lewter | Specialist/Technologist, Other | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2015-12-01 |
| 1508034604 | Christen Bowman Clements | Chiropractor | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2008-02-12 |
| 1154539278 | Advanced Pain Therapies, LLC | Specialist | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2007-05-21 |
| 1871701029 | Hartsville Anesthesia Associates | Specialist | 7921 Broad River Rd, Irmo, SC 29063-2358 | 2007-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603640 | Daniel Witcher | Counselor | 1180 Columbia Avenue, Suite 203, Irmo, SC 29063 | 2020-06-16 |
| 1710512140 | Arie Anew Services Incorporated | Psychologist | 7803 St. Andrews Road, C5, Irmo, SC 29063 | 2020-03-05 |
| 1366922296 | Jennie C Beym | Speech-Language Pathologist | 7 Tip Top Court, Irmo, SC 29063 | 2018-08-20 |
| 1295214088 | The Well LLC | Massage Therapist | 1720 Dutch Fork Rd., Irmo, SC 29063 | 2018-08-13 |
| 1699268821 | Shannon Marie Kelly | Dentist | 200 N Royal Tower Dr, Irmo, SC 29063 | 2018-06-12 |
| 1497243174 | Anthony Batiste Thompson Jr. | Behavior Technician | 137 Chapelwhite Road, Irmo, SC 29063 | 2018-04-27 |
| 1578076022 | Demario Sawyer Sr | Ambulance | 107 N Royal Tower Dr Ste C, Irmo, SC 29063 | 2017-11-07 |
| 1306365713 | Dreher Shuler | Student in an Organized Health Care Education/Training Program | 205 River Creek Drive, Irmo, SC 29063 | 2017-09-18 |
| 1053833442 | Tania Rodriguez | Social Worker | 30 Ash Court, Irmo, SC 29063 | 2017-07-07 |
| 1598294944 | Ashley Elaine Bradley | Home Health | 120 Stockland Rd, Irmo, SC 29063 | 2017-06-08 |
| Find all providers in zip 29063 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982246633 | Southern Coast Specialists, LLC | Anesthesiology | 16 Okatie Center Blvd S Ste 201, Bluffton, SC 29909-7544 | 2019-10-15 |
| 1487120622 | Pain Specialists of Charleston | Anesthesiology | 135 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2018-10-15 |
| 1235610767 | Premier Pain Solutions Pllc | Anesthesiology | 201 Richard St Ste A, Easley, SC 29640-1442 | 2018-08-23 |
| 1902316557 | Anesthesia Aficianados, LLC | Anesthesiology | 10630 Clemson Blvd Ste 200, Seneca, SC 29678-4545 | 2017-10-10 |
| 1285157735 | Sgkf LLC | Anesthesiology | 764 Saint Andrews Blvd, Charleston, SC 29407-7168 | 2017-07-17 |
| 1053860841 | Emergencymd, LLC | Anesthesiology | 2555 Boiling Springs Rd, Boiling Springs, SC 29316-5351 | 2016-09-22 |
| 1992156400 | Arcis Healthcare, LLC | Anesthesiology | 109 Park Place Ct, Lexington, SC 29072-6690 | 2016-06-27 |
| 1215302823 | Low Country Pain & Spine | Anesthesiology | 9180 Ocean Hwy Unit 6, Pawleys Island, SC 29585-8670 | 2015-12-08 |
| 1760888127 | Seaside Professional Services LLC | Anesthesiology | 25 Sherington Park Drive, Suite D-1, Bluffton, SC 29910 | 2014-11-13 |
| 1336559830 | Ryan Peyton Hostutler | Anesthesiology | 201 Richard St Unit A, Easley, SC 29640-1442 | 2014-05-06 |
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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.