JOHN SCOT ODLE (NPI# 1902984834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902984834 |
Entity Type | Individual |
Full Name | JOHN SCOT ODLE |
Credential | D.P.M. |
Practice Address |
1800 Birmingham Ave Jasper AL 35501-5461 |
Practice Telephone | 2053844474 |
Practice Fax Number | 2053844428 |
Mailing Telephone | 2053844474 |
Mailing Fax Number | 2053844428 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-12-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 462 | AL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | ALABAMA LICENSE # | 157 | 01 |
AL | RAILROAD MEDICARE | 480034067 | 01 |
AL | BC/BS | 76296 | 01 |
Street Address |
1800 BIRMINGHAM AVE |
City | JASPER |
State | AL |
Zip Code | 35501-5461 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093769036 | Donald Ray Ashley Sr. | Family Medicine | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-05-22 |
1326557489 | Nicole Elizabeth Walton | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2017-09-21 |
1588031967 | Lindsey Smith | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2015-09-01 |
1720477995 | Richard Justin Bates | Nurse Practitioner | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2015-01-12 |
1558556225 | Jasper Podiatry Center, P.C. | Clinic/Center | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-09-06 |
1003939471 | Oscar Domingo Almeida Jr. | Obstetrics & Gynecology | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-04-09 |
1184749350 | Afterhours Rx | Pharmacy | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2007-03-20 |
1760543789 | John Gregory Honeycutt | Chiropractor | 1800 Birmingham Ave, Jasper, AL 35501 | 2006-12-13 |
1225067051 | Daniel Kirk Mcdonald | Clinic/Center | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-07-02 |
1427002369 | Jack B Pruett | Emergency Medicine | 1800 Birmingham Ave, Jasper, AL 35501-5461 | 2006-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194209650 | Ansley Parnell Allen | Dentist | 1208 Highway 78 East, Jasper, AL 35501 | 2018-09-20 |
1437659265 | A Calling Consulting and Wellness Center, LLC | Social Worker | 300 18th St West, Suite 101, Jasper, AL 35501 | 2018-02-19 |
1902315591 | Lucretia Fountain | Pharmacist | 1640 Hwy 78 East, Jasper, AL 35501 | 2017-09-26 |
1356708465 | Veterans Admistration | Clinic/Center | 1454 Jones Dairy Road, Jasper, AL 35501 | 2016-01-20 |
1104233717 | Garrison Stephen Cowen | Obstetrics & Gynecology | 701 East 19th Street, Jasper, AL 35501 | 2014-07-15 |
1700291903 | Jennifer Leah Neighbors Beasley | Internal Medicine | 1450 Jones Dairy Rd Ste 500, Jasper, AL 35501 | 2014-06-25 |
1841568391 | Gloria Jean Farris | Nurse Practitioner | 300 Cherokee Circle, Jasper, AL 35501 | 2011-12-12 |
1013205970 | Daniel Jason Morris | Orthopaedic Surgery | 1446 Jones Dairy Rd Ste 100, Jasper, AL 35501 | 2011-07-13 |
1417150954 | East Point Pharmacy, LLC | Pharmacy | 1442 Jones Dairy Rd., Jasper, AL 35501 | 2007-06-11 |
1275754210 | Karen Denise Veitch | Pharmacist | 2405 Us Hwy 78 East, Jasper, AL 35501 | 2007-05-01 |
Find all providers in zip 35501 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629411723 | Aaron K Ruter | Podiatrist | 645 W 5th Street, Jasper, IN 47546-1705 | 2013-04-09 |
1811274624 | Richard S Eby Dpm | Podiatrist | 11a Courthouse Sq, Jasper, TN 37347-3531 | 2011-11-08 |
1245413491 | Alan B Axelroth Dpm | Podiatrist | 305 19th St E, Jasper, AL 35501-5413 | 2007-12-11 |
1619013281 | Walter C Hancock Dpm | Podiatrist | 603 Dorbett St, Jasper, IN 47546-2615 | 2007-01-30 |
1053335273 | Damieon Brown | Podiatrist | 3697 Main St, Jasper, TN 37347-0417 | 2006-07-27 |
1255376364 | Chad Michael Nunamaker | Podiatrist | 645 W 5th St, Jasper, IN 47546-3172 | 2006-06-20 |
1871581116 | Bret J Hintze | Podiatrist | 49 Gordon Road, Suite 104, Jasper, GA 30143-1017 | 2005-10-11 |
1619341393 | Foot and Ankle Reconstruction of North Georgia PC | Podiatrist | 49 Gordon Road, Suite 104, Jasper, GA 30143-1017 | 2015-11-18 |
1306278007 | Village Podiatry Group, LLC | Podiatrist | 620 J L White Dr, Ste. 140, Jasper, GA 30143-4896 | 2013-08-05 |
1982952727 | Village Podiatry Group, LLC | Podiatrist | 51 Gordon Rd, Jasper, GA 30143-7104 | 2012-08-28 |
Find all providers in JASPER |
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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.