DR. MATTHEW RICHARD ODOM (NPI# 1780828988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780828988 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RICHARD ODOM |
| Credential | M.D. |
| Practice Address |
1050 Nw 8th Ave Ste 20 Gainesville FL 32601-4998 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3523797900 |
| Practice Fax Number | 3523792971 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME112150 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | ME112150 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | TRN13500 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 922 E Call St, Starke, FL 320913616 | 9043682300 | 9043682306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609986173 | Matthew Odom | Specialist/Technologist | James A Taylor Campus Health Services Building, Cb# 7470, Chapel Hill, NC 27599-7470 | 2006-08-30 |
| Street Address |
1050 NW 8TH AVE STE 20 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-4998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447200837 | Elaine D. Davis | Nurse Practitioner | 1050 Nw 8th Ave Ste 20, Gainesville, FL 32601-4998 | 2006-05-10 |
| 1700427333 | Tony Lee Abbott | Nurse Practitioner | 1050 Nw 8th Ave Ste 20, Gainesville, FL 32601-4998 | 2019-10-04 |
| 1780605865 | Gainesville After Hours Clinic | Family Medicine | 1050 Nw 8th Ave Ste 20, Gainesville, FL 32601-4998 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558883306 | Rustlewood Emergency Physicians LLC | Emergency Medicine | 4388 Nv 53rd Street Avenue, Gainesville, FL 32653 | 2017-07-13 |
| 1285169367 | Ryan Michael Luevanos | Emergency Medicine | 1147 Nw 64th, Terrace, Gainesville, FL 32605 | 2017-04-26 |
| 1477088045 | Benjamin Huston Murphy | Emergency Medicine | 3558 Nw 97th Blvd Fl 32606, Gainesville, FL 32606-7323 | 2017-04-20 |
| 1104367549 | Justine Anne Falcone | Emergency Medicine | 2490 Sw 14th Dr, Apt 24, Gainesville, FL 32608-2064 | 2017-03-18 |
| 1487008454 | Brittany Charlotte Beel | Emergency Medicine | Dept of Emergency Medicine 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0001 | 2016-04-15 |
| 1861897480 | Emergency Physicians Medical Center, LLC | Emergency Medicine | 9181 Nw 39th Ave, Gainesville, FL 32606-7372 | 2014-10-24 |
| 1124432471 | Gainesville Medical Centers | Emergency Medicine | 805 Nw 13th St, Gainesville, FL 32601-2904 | 2014-06-15 |
| 1760894497 | Jordan Bell | Emergency Medicine | 3034 Sw 98th Way, Gainesville, FL 32608-8682 | 2014-05-29 |
| 1639517972 | Charles William Hwang Jr. | Emergency Medicine | 1329-sw 16 St, Gainesville, FL 32610-0186 | 2013-06-10 |
| 1689012932 | Pratik Shashikant Patel | Emergency Medicine | 1329 Sw 16th St Ste 1210, Box 100371, Gainesville, FL 32610-0186 | 2013-06-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
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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.