AUDREY R. ODOM MD – NPI #1215949276
Pediatrics
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
AUDREY ODOM is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1215949276 to AUDREY ODOM on August 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0208X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Infectious Diseases
The NPI profile was previously updated about 8 years ago on Jan 24, 2018. 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 AUDREY ODOM below.
NPI Profile for
AUDREY R. ODOM
(about 20 years ago)
STE C
SAINT LOUIS, MO 63110-1002 Phone: (314) 454-6050 Fax: (314) 454-2836
CB 8116
SAINT LOUIS, MO 63110-1002 Phone: (314) 454-6050 Fax: (314) 454-2836
Identifiers for AUDREY ODOM
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IL | ENROLLED | |
| MEDICAID | MO | 1215949276 |
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 |
|---|---|---|
| 2080P0208X - Pediatrics / Pediatric Infectious Diseases (Primary) |
MO | 2008022993 |
| 208000000X - Pediatrics |
MO | 2008022993 |
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.