M SUE ODORISIO


Address: 200 Hawkins Dr, Iowa City, IA 52242-1009
Phone: 3193567873

M SUE ODORISIO (NPI# 1689669376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689669376
Entity Type Individual
Full Name M SUE ODORISIO
Credential MD
Practice Address 200 Hawkins Dr
Iowa City
IA 52242-1009
Practice Telephone 3193567873
Practice Fax Number 3193567659
Mailing Telephone 3193567873
Mailing Fax Number 3193567659
Enumeration Date 2005-09-19
Last Update Date 2007-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
33087 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA WELLMARK BCBS 07880 01
IA 0199869 05

Office Location

Street Address 200 HAWKINS DR
City IOWA CITY
State IA
Zip Code 52242-1009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164425963 Matthew T Spragg Emergency Medicine 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-05-24
1205437951 Jennifer Renee Manternach Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-11-07
1144821794 Jannet S Eastman Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-11-02
1043810245 Abbey Lorraine Foglesong Dietitian, Registered 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-10-27
1972101533 Lindy Pelzer Nurse Practitioner 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-10-15
1124626437 Georgianne Younger Genetic Counselor, MS 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-10-09
1114534237 Bharatendu Chandra Medical Genetics 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-09-24
1023625142 Moon Ley Tung Medical Genetics 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-09-24
1225645187 Sinan Akay Radiology 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-09-24
1376158170 Aygun Asgarli Psychiatry & Neurology 200 Hawkins Dr, Iowa City, IA 52242-1009 2020-09-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033738679 Shannon Louise Miers Physical Therapist Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 2020-04-14
1821624230 Victoria Troesch Student in an Organized Health Care Education/Training Program 375 Newton Rd, Iowa City, IA 52242 2020-03-17
1891338539 Kira Ann Hennes Blum Dietitian, Registered 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 2019-10-25
1407330483 Kristin L Heider Psychologist 616 E Bloomington Street, Iowa City, IA 52242 2018-09-17
1447738398 Allison Kral Dietitian, Registered 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 2018-08-02
1528544780 Abigail Lynne Schiltz Physician Assistant 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 2018-07-11
1710474259 Bashar H. H. Abuqayas Hospitalist 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 2018-04-19
1023547395 Tyler Quist Internal Medicine 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 2017-06-08
1972962371 Angeleah Korin Whitlatch Social Worker 100 Hawking Drive, Iowa City, IA 52242 2016-02-15
1649667734 Jennie Sertterh Specialist/Technologist 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 2015-04-16
Find all providers in zip 52242

Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508243700 Torin Waters Pediatrics 200 Hawkins Dr, Iowa City, IA 52242 2015-04-27
1013350289 Jamie M Truscott Pediatrics 200 Hawkins Dr, Iowa City, IA 52242 2013-04-08
1972739712 William Terry Iv Pediatrics 200 Hawkins Dr, 2520 Jcp, Iowa City, IA 52242-1009 2009-06-08
1619137247 Arunkumar Jagadishbhai Modi Pediatrics 200 Hawkins Dr, Dept of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 2008-06-17
1336321330 David Jon Gordon Pediatrics 200 Hawkins Dr, Department of Pediatric Hematology/oncology, Iowa City, IA 52242-1009 2007-11-30
1194945691 Anjali A Sharathkumar Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2007-04-26
1376530485 Raymond Tannous Pediatrics 200 Hawkins Dr, Iowa City, IA 52242-1009 2005-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598812307 Wendy Woods-swafford Pediatrics 1215 Pleasent St., Ste. 306, Des Moines, IA 50309-1453 2007-01-04
1629050802 Naser J Al Zein Pediatrics 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 2005-11-15
1114913985 Torrey L Mitchell Pediatrics 1215 Pleasant St, Suite 300, Des Moines, IA 50309-1416 2005-09-27
1710971478 Stephen C Elliott Pediatrics 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 2005-09-08
1508850496 Stephen R Stephenson Pediatrics 1215 Pleasant St., Ste. 306, Des Moines, IA 50309-1453 2005-09-07

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City IOWA CITY
Zip Code 52242

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Dataset Information

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.

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