BENJAMIN ODOM (NPI# 1639705767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639705767 |
| Entity Type | Individual |
| Full Name | BENJAMIN ODOM |
| Credential | CRNA |
| Practice Address |
3104 Blue Lake Dr Ste 110 Vestavia AL 35243-2372 |
| Mailing Address |
406 N Elm St Mount Pleasant TN 38474-1217 |
| Practice Telephone | 2059771949 |
| Practice Fax Number | 2059771933 |
| Mailing Telephone | 2054412996 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1-142308 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952679839 | Benjamin Lee Odom | Physical Therapist | 2908 Country Place Dr, Plano, TX 75075-2121 | 2011-12-07 |
| 1255498309 | Benjamin Scott Odom | Dentist | 5060 N 40th St Ste 108, Phoenix, AZ 85018-2140 | 2007-01-01 |
| 1831320456 | Benjamin Scott Odom | Counselor | 1091 N Main St, Suite 215, Vidor, TX 77662-4339 | 2009-07-30 |
| Street Address |
3104 BLUE LAKE DR STE 110 |
| City | VESTAVIA |
| State | AL |
| Zip Code | 35243-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757126 | Philip Conger Johnson | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2009-04-20 |
| 1134732548 | Waseem Wazir Ali Hussaini | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2020-08-25 |
| 1417579400 | Norman Harris IIi | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2020-05-12 |
| 1366076473 | Joshua David Baker | Physician Assistant | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2020-02-27 |
| 1831737220 | David Allen Pitts Jr. | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-12-16 |
| 1427520493 | James Albert Brock IIi | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-01-01 |
| 1528448891 | Travis Davis | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2015-06-02 |
| 1962821108 | Amanda Nicole Hopkins | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2014-04-15 |
| 1023377272 | Joshua Morgan Varner | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2012-05-09 |
| 1538459508 | Michael Francis Narveson | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2011-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205223 | See Inc | Optometrist | 200 Summit Blvd, Suite 168, Birmingham, AL 35243 | 2019-10-03 |
| 1619526829 | Kourtni Brooke Young | Nurse Anesthetist, Certified Registered | Grandview Medical Center, 3690 Grandview Parkway, Birmingham, AL 35243 | 2019-09-10 |
| 1548747942 | Kaitlyn Bennett | Occupational Therapist | 3140 Cahaba Heights Road, Suite 102, Vestavia, AL 35243 | 2018-07-27 |
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1184169559 | Olivia Diann Gaston | Behavioral Analyst | 3296 Cahaba Heights Rd., Milestones Behavior Group., Vestavia, AL 35243 | 2016-12-21 |
| 1679027841 | Aspire Physical Recovery Center At Cahaba River, LLC | Skilled Nursing Facility | 3070 Healthy Way, Vestavia, AL 35243 | 2016-08-05 |
| 1306203682 | Abbey Elizabeth Duke | Physician Assistant | 3690 Grandview Parkway, Birmingham, AL 35243 | 2016-01-18 |
| 1689078628 | Mary Camp | Occupational Therapist | 3140 Cahaba Heights Road Suite 102, Vestavia Hills, AL 35243 | 2014-10-20 |
| 1255757209 | Laura Romundstad | Nurse Practitioner | 3670 Grandview Parkway, Suite 100, Birmingham, AL 35243 | 2014-03-14 |
| 1841631199 | Seth Alexander Martin | Developmental Therapist | 3981 Kyle Lane, Milestones Behavior Consulting, Vestavia, AL 35243 | 2013-07-16 |
| Find all providers in zip 35243 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854892 | Haley Lawrence Hudson | Nurse Anesthetist, Certified Registered | 2290 Tanglewood Brook Ln, Vestavia, AL 35243-2170 | 2020-05-29 |
| 1053700443 | Jennifer Knight | Nurse Anesthetist, Certified Registered | 2046 Montreat Cir, Apt A, Vestavia, AL 35216-3966 | 2015-01-22 |
| 1932537396 | Leeann Logan | Nurse Anesthetist, Certified Registered | 709 Savannah Pl, Vestavia, AL 35226-3262 | 2013-10-23 |
| 1134732548 | Waseem Wazir Ali Hussaini | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2020-08-25 |
| 1417579400 | Norman Harris IIi | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2020-05-12 |
| 1831737220 | David Allen Pitts Jr. | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-12-16 |
| 1386194454 | Patriot Perioperative Partners, Inc. | Nurse Anesthetist, Certified Registered | 2868 Acton Rd, Vestavia, AL 35243-2502 | 2016-10-12 |
| 1700332707 | Christa Hamrick | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243-2345 | 2016-08-30 |
| 1154772226 | Lacey Denton | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243-2345 | 2016-06-29 |
| 1659721660 | Daniel Vrazel | Nurse Anesthetist, Certified Registered | 3104 Blue Lake Dr, Suite 110, Vestavia, AL 35243-2345 | 2016-06-21 |
| Find all providers in VESTAVIA | ||||
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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.