Susan Nancy Odell, PAC CDE

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101438 Issued in FL

Practice address

8399 W Oakland Park Boulevard
Suite a
Sunrise, FL 33351

Phone

(954) 741-4181

Fax

(954) 746-8699

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Murray J Miller, MD, PA

  • Specialist
  • Lauderdale Lakes, FL
  • NPI 1861689853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1053385211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 4TH AVENUE",
            "address_2": "#1500",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33315",
            "telephone_number": "954-462-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 W OAKLAND PARK BOULEVARD",
            "address_2": "SUITE A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-741-4181",
            "fax_number": "954-746-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "SUSAN",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "PAC CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Med Group Corp.
• Pamela Del Carmen Obando Redondo
• Obstetrix Medical Group of Oklahoma PC
• Rolan Occena
• Ocean-1 Home Health Agency LLC
• Lowela Ogayre
• Peter A. Okubo, CRNA
• Tosin Esther Olakanye
• Pedro Manuel Olivar Felipe Jr., BCBA
• Alexandra Omat, PHARM.D

• Medical Physician Assistant in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.