Todd A Odom (NPI# 1801860952, PAC ID# 4082606470) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1801860952 |
| PAC ID by PECOS | 4082606470 |
| Professional Enrollment ID | I20100505000407 |
| Full Name | Todd A Odom |
| Organization Legal Name | COLORECTAL ASSOCIATES OF TEXAS PA |
| Address |
4500 Hillcrest Rd Suite 180 Frisco TX 75035-5420 |
| Phone Number | 9726120430 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1992 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 7012909658 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450651 | MEDICAL CITY PLANO |
| Address | Phone | Organization |
|---|---|---|
| 4500 Hillcrest Rd, Suite 180, Frisco, TX 75035-5420 | 9726120430 | COLORECTAL ASSOCIATES OF TEXAS PA |
| 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 | 9726120430 | COLORECTAL ASSOCIATES OF TEXAS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | COLORECTAL ASSOCIATES OF TEXAS PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie K Leverton | Colorectal Surgery (proctology) | Colorectal Associates of Texas Pa | 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 |
| Salim H Jabbour | Colorectal Surgery (proctology) | Colorectal Associates of Texas Pa | 4401 Coit Rd, Suite 301, Frisco, TX 75035-0507 |
| Deonna Loving | Certified Registered Nurse Anesthetist (crna) | Colorectal Associates of Texas Pa | 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 |
| Said Hashemipour | Colorectal Surgery (proctology) | Colorectal Associates of Texas Pa | 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 |
| Barbara Brown | Certified Registered Nurse Anesthetist (crna) | Colorectal Associates of Texas Pa | 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 |
| Raymond Staniunas | Colorectal Surgery (proctology) | Colorectal Associates of Texas Pa | 1705 Ohio Dr, Suite 100, Plano, TX 75093-5256 |
| Street Address |
4500 HILLCREST RD SUITE 180 |
| City | FRISCO |
| State | TX |
| Zip | 75035-5420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lan B Hua | Hand Surgery | 4500 Hillcrest Rd, Suite 185, Frisco, TX 75035-5401 | |
| Andrew Henry Morchower | Interventional Pain Management | 4500 Hillcrest Rd, Suite 185, Frisco, TX 75035-5401 | |
| Darlene Demetria Jones | Optometry | 4500 Hillcrest Rd, Suite 170, Frisco, TX 75035-5420 | |
| Kristoffer D Pepperell | Family Medicine | Hillcrest Clinic Pa | 4500 Hillcrest Rd, Suite 180, Frisco, TX 75035-5420 |
| Anupama Bhargava | Family Medicine | Hillcrest Clinic Pa | 4500 Hillcrest Rd, Suite 180, Frisco, TX 75035-5420 |
| Muhammad Ar Haqqani | Psychiatry | 4500 Hillcrest Rd, Suite 115, Frisco, TX 75035-5403 | |
| Igor Rakovchik | General Practice | Omni Spine Pain Management, Pllc | 4500 Hillcrest Rd, Suite 185, Frisco, TX 75035-5401 |
| Swati Ellendula | Psychiatry | Chandratara Pa | 4500 Hillcrest Rd, Frisco, TX 75035-5403 |
| Edward D Wilson | Chiropractic | 4500 Hillcrest Rd, Suite 160, Frisco, TX 75035-5420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srivasa B Chebrolu | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Jun Chen | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Nandana Mapakshi | Nephrology | North Texas Kidney Disease Associates | 4401 Coit Rd, Frisco, TX 75035-0500 |
| Eric C Berg | Anesthesiology | Allen Anesthesia Associates | 4401 Coit Rd, Suite 100, Frisco, TX 75035-0501 |
| James D Crowson | Certified Registered Nurse Anesthetist (crna) | Allen Anesthesia Associates | 4401 Coit Rd, Suite 100, Frisco, TX 75035-0501 |
| Alan M Greenberg | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Elise Michelle Harper | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Phyllis J Gee | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Arminda Callejas Weintz | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Tracy Haymann Elliott | Obstetrics/gynecology | Health Central, P.a. | 4401 Coit Rd, Suite 205, Frisco, TX 75035-0504 |
| Find all physicians in zip 75035 | |||
| City | FRISCO |
| Zip Code | 75035 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | FRISCO + COLORECTAL SURGERY (PROCTOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.