Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-036893 | OH |
NPI | 1487672614 |
---|---|
Provider Name | James K. Odonnell |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 20/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221257 | UNISON (01) | OH |
000000503624 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
0569246 | (05) | OH |
1024886200001 | (05) | PA |
363888 | WELLCARE (01) | OH |
4412027 | AETNA (01) | OH |
745089 | BUCKEYE (01) | OH |
E56984 | (02) | |
P00358822 | RAILROAD MEDICARE (01) | OH |