RANDALL R. ODEM MD – NPI #1336165554
Obstetrics & Gynecology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

RANDALL ODEM is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1336165554 to RANDALL ODEM on July 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VE0102X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Reproductive Endocrinology

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL ODEM below.

NPI Profile for
RANDALL R. ODEM

NPI Number
1336165554
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL R. ODEM
Credentials
MD
Primary location
4444 FOREST PARK AVE STE 3100
STE 3100
SAINT LOUIS, MO 63108-2212
Phone: (314) 286-2400 Fax: (314) 286-2455
Mailing address
660 S EUCLID AVE
C B 8064
SAINT LOUIS, MO 63110-1010
Phone: (314) 286-2400 Fax: (314) 286-2455
Sole Proprietor
No
Updated
Identifiers

Identifiers for RANDALL ODEM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidILENROLLED
medicaidMO202236402
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VE0102X
- Obstetrics & Gynecology / Reproductive Endocrinology (Primary)
MO R7E33

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
WASHINGTON UNIVERSITY
Content Type
Affiliation
Y
Endpoint Location
660 S EUCLID AVE,
SAINT LOUIS, MO 77025-1669