RICHARD HAL O'DELL II (NPI# 1629035480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629035480 |
Entity Type | Individual |
Full Name | RICHARD HAL O'DELL II |
Credential | MD |
Practice Address |
3330 Nw 56th Suite 206 Oklahoma City OK 73112-4426 |
Practice Telephone | 4059454710 |
Practice Fax Number | 4059454751 |
Mailing Telephone | 4059454710 |
Mailing Fax Number | 4052656308 |
Enumeration Date | 2006-04-27 |
Last Update Date | 2014-09-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
17921 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICARE RR LLC | P00415260 | 01 |
OK | 100065450A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427147644 | Richard O'dell | Anesthesiology | 16311 Ventura Blvd, #725, Encino, CA 91436-2124 | 2006-10-12 |
Street Address |
3330 NW 56TH SUITE 206 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-4426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003894569 | Vikas Vij | Radiology | 3330 Nw 56th, Suite 206, Oklahoma City, OK 73112-4426 | 2006-01-05 |
1972711422 | Clinton Williamson | Radiology | 3330 Nw 56th, Suite 206, Oklahoma City, OK 73112-4426 | 2007-05-18 |
1598721755 | Stephanie E Summers | Radiology | 3330 Nw 56th, Suite 206, Oklahoma City, OK 73112-4426 | 2006-04-25 |
1396713624 | Ann Gray Archer | Radiology | 3330 Nw 56th, Suite 206, Oklahoma City, OK 73112-4426 | 2006-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
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 |
---|---|---|---|---|
1053601237 | Anjali Lal | Radiology | 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 | 2011-04-08 |
1295045433 | Oliver A. Cvitanic Md, PC | Radiology | 230 Sw 80th St, Oklahoma City, OK 73139-8107 | 2010-10-20 |
1356652515 | Franklin C. Nwoke | Radiology | 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 | 2010-06-23 |
1215257225 | Michael P Murphy | Radiology | 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 | 2010-06-02 |
1568787489 | Mohamed Nabil Attaya | Radiology | 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 | 2010-04-03 |
1396876025 | Lawrence Churng-shyuh Fan | Radiology | 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 | 2007-03-07 |
1780762195 | Christian Leigh Koopman | Radiology | 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 | 2006-11-02 |
1891886354 | Mobile X-ray Services Inc | Radiology | 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 | 2006-09-27 |
1538267208 | Oliver Anthony Cvitanic | Radiology | 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 | 2006-09-20 |
1972522845 | T.h. Molskness D.o. | Radiology | 11205 Greenbriar Chase St, Oklahoma City, OK 73170-3218 | 2006-07-19 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.