MARY ODOFIN MD PC (NPI# 1710235262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710235262 |
| Entity Type | Organization |
| Organization Name | MARY ODOFIN MD PC |
| Other Organization Name | OLAOLUWA ODOFIN MD |
| Practice Address |
250 Chateau Dr Sw Suite 220 Huntsville AL 35801-6436 |
| Practice Telephone | 2568811989 |
| Practice Fax Number | 2563191368 |
| Mailing Telephone | 2568811989 |
| Mailing Fax Number | 2563191368 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-20 |
| Authorized Official Name | BARBARA MCANALLY (BUSINESS MANAGER) |
| Authorized Official Telephone | 2568811835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 31854 | AL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Olaoluwa Odofin MD | Other Name - Individual/Organization |
| Street Address |
250 CHATEAU DR SW SUITE 220 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-6436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760464820 | Martin Kelly Lynn | Internal Medicine | 250 Chateau Dr Sw, Huntsville, AL 35801-3497 | 2005-11-15 |
| 1821501057 | Jennifer Navarro | Nurse Practitioner | 250 Chateau Dr Sw, Huntsville, AL 35801-6436 | 2017-11-09 |
| 1043674252 | Summer Paige Slater | Nurse Practitioner | 250 Chateau Dr Sw, Suite 115, Huntsville, AL 35801-6436 | 2016-04-13 |
| 1174986699 | Joseph Bailey | Dietitian, Registered | 250 Chateau Dr Sw, Suite 110, Huntsville, AL 35801-6436 | 2016-04-01 |
| 1497113492 | Elizabeth Fondren | Nurse Practitioner | 250 Chateau Dr Sw, Suite 100, Huntsville, AL 35801-6436 | 2016-02-04 |
| 1093196388 | Christopher Glenn Adcock | Nurse Anesthetist, Certified Registered | 250 Chateau Dr Sw, Suite 110, Huntsville, AL 35801-6436 | 2015-06-12 |
| 1194128330 | Advanced Obgyn PC | Obstetrics & Gynecology | 250 Chateau Dr Sw, Ste 100, Huntsville, AL 35801-6436 | 2014-10-02 |
| 1629329297 | Avenir Ventures, L.L.C. | Nurse Practitioner | 250 Chateau Dr Sw, Suite 112, Huntsville, AL 35801-6436 | 2012-09-24 |
| 1104175512 | Roy Brian Roberts, M.d., P.C. | Internal Medicine | 250 Chateau Dr Sw, Suite 220, Huntsville, AL 35801-6436 | 2012-08-30 |
| 1790057750 | Huntsville Colon & Gi Consultants,llc | Internal Medicine | 250 Chateau Dr Sw, Suite 216, Huntsville, AL 35801-6436 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744537 | M.d. Hospitalists, LLC | Internal Medicine | 6275 University Dr Nw Ste 37-235, Huntsville, AL 35806-1776 | 2018-06-21 |
| 1669994331 | Blossomwood Research LLC | Internal Medicine | 2121 Whitesburg Dr Se Ste D, Huntsville, AL 35801-4501 | 2017-07-13 |
| 1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
| 1255713327 | Omer Iqbal | Internal Medicine | 420 Lowell Dr Se Ste 101, Huntsville, AL 35801-3755 | 2015-06-24 |
| 1780072801 | Mahesri Mht LLC | Internal Medicine | 119 Medical Park Ln Ste A, Huntsville, TX 77340-4980 | 2014-12-23 |
| 1750726162 | Raleigh Forrest Adams | Internal Medicine | 250 Chateau Drive, Suite 110, Huntsville, AL 35801 | 2013-04-30 |
| 1417390543 | Tyler Green | Internal Medicine | 2004 Airport Rd Sw Ste 212, Huntsville, AL 35801-5848 | 2013-04-08 |
| 1407107709 | Richard Aloysius Finch | Internal Medicine | 2709 Boulder Cir Se, Huntsville, AL 35801-1402 | 2012-09-26 |
| 1003170218 | Michael Frederick Donze Jr. | Internal Medicine | 250 Chateau Dr Sw Ste 110, Huntsville, AL 35801-3497 | 2012-07-02 |
| 1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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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.