Floyd Clark Odom (NPI# 1346275146, PAC ID# 6406830918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1346275146 |
| PAC ID by PECOS | 6406830918 |
| Professional Enrollment ID | I20100518000108 |
| Full Name | Floyd Clark Odom |
| Organization Legal Name | TEXAS COLON AND RECTAL SURGEONS, LLP |
| Address |
7777 Forest Ln A321 Dallas TX 75230-2589 |
| Phone Number | 9726613575 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1972 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 1557345063 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450462 | TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS |
| Address | Phone | Organization |
|---|---|---|
| 7777 Forest Ln, A321, Dallas, TX 75230-2589 | 9726613575 | TEXAS COLON AND RECTAL SURGEONS, LLP |
| 8315 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4254 | 2143636123 | TEXAS COLON AND RECTAL SURGEONS, LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TEXAS COLON AND RECTAL SURGEONS, LLP |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Downs | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 8315 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4254 |
| Shelley L Capehart | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 2001 N Macarthur Blvd, Suite 750, Irving, TX 75061-2195 |
| Matthew R Hughes | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 4001 W 15th St, Suite 280, Plano, TX 75093-5847 |
| Randall Crim | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 4001 W 15th St, Suite 280, Plano, TX 75093-5847 |
| Laurie S Novosad | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 5236 W University Dr, Suite 4300, Mckinney, TX 75071-7889 |
| Clifford L Simmang | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 7777 Forest Ln, A321, Dallas, TX 75230-2589 |
| Ronney F Stadler | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 4370 Medical Arts Dr, Suite 265, Flower Mound, TX 75028-1712 |
| Dale D Burleson | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 4001 W 15th St, Suite 280, Plano, TX 75093-5847 |
| Jesus Flores | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 7777 Forest Ln, A321, Dallas, TX 75230-2589 |
| Anuj Raj Kandel | Colorectal Surgery (proctology) | Texas Colon and Rectal Surgeons, LLP | 7777 Forest Ln, A321, Dallas, TX 75230-2589 |
| Street Address |
7777 FOREST LN A321 |
| City | DALLAS |
| State | TX |
| Zip | 75230-2589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahad Manzoor Ul Hassan | Interventional Cardiology | Cardiology Specialists of North Texas, Pllc | 7777 Forest Ln, C339, Dallas, TX 75230-2544 |
| Jacqueline Nicole Horst | Pulmonary Disease | Questcare Intensivists Pllc | 7777 Forest Ln, Dallas, TX 75230-2571 |
| Tim R Tarkenton | Obstetrics/gynecology | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| Greta J Kissel | Nurse Practitioner | Columbia Hospital At Medical City Dallas Subsidiary Lp | 7777 Forest Ln, Dallas, TX 75230-2571 |
| Vidya Nandipati | Internal Medicine | 7777 Forest Ln, Dallas, TX 75230-2571 | |
| Jane Farrar Admire | Otolaryngology | 7777 Forest Ln, C100, Dallas, TX 75230-2512 | |
| Michael G Meador Jr. | Physician Assistant | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| John Demopulos | Internal Medicine | Dallas Medical Specialists, Pllc | 7777 Forest Ln, Suite C300, Dallas, TX 75230-2514 |
| Kate Megan Murphy | Nurse Practitioner | Han Pham Hulen, Md Pa | 7777 Forest Ln, Suite C239, Dallas, TX 75230-7522 |
| Ambareen Salam | Internal Medicine | 7777 Forest Ln, Suite C650, Dallas, TX 75230-6867 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John N Melek | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Albert H Quan | Pediatric Medicine | Albert H Quan Md Pa | 777 Forest Ln, Suite 31, Dallas, TX 75230 |
| Geoffrey W Burnham | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Bhoomi H Sutaria | Internal Medicine | Questcare Hospitalists Pllc | 7930 Northhaven Rd, Dallas, TX 75230 |
| Celina Denise Cepeda | Pediatric Medicine | Albert H Quan Md Pa | 777 Forest Ln, Suite 31, Dallas, TX 75230 |
| Veronica N Shaw | Nurse Practitioner | North Dallas Pain and Wellness Pllc | 12835 Preston Rd, Suite 405, Dallas, TX 75230-1294 |
| David L Cobbs | Psychologist, Clinical | 12900 Preston Rd, Suite 1015, Dallas, TX 75230-1339 | |
| Erwin A Cruz | Neurology | 12800 Preston Rd, Suite 101, Dallas, TX 75230-1366 | |
| Luke Alan Arnett | Chiropractic | 12800 Preston Rd, Suite 201, Dallas, TX 75230-1368 | |
| Jamie D Wilson | Psychologist, Clinical | 6750 Hillcrest Plaza Dr, Suite 203, Dallas, TX 75230-1439 | |
| Find all physicians in zip 75230 | |||
| City | DALLAS |
| Zip Code | 75230 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | DALLAS + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Floyd Clark Odom.
| 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.