Active NPI
Steven F Odell, DO
- Surgery Physician
- Grand Junction, CO
National Provider Identifier
1083634349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 27609
- Practice address
- 1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997 - Phone
- (970) 243-9340
- Fax
- (970) 241-6894
- NPI assigned
- Jul 20, 2006
- Last updated
- Dec 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27609 | CO | Primary |
Addresses
Primary practice location
1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997
Mailing address
1060 Orchard Ave
Suite I
Grand Junction, CO 81501-2997
Phone (970) 243-9340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01276096 | Medicaid | CO | |
| 36539 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27609 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold a. Fenster, MD, PC | Surgery | Past | Accepting new patients |
| Surgical Associates of Western Colorado, P.C. | Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6865/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Grand Junction, CO
- NPI 1083713960
-
- Surgery Physician
- Grand Junction, CO
- NPI 1811917669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1083634349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 ORCHARD AVE",
"address_2": "SUITE I",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012997",
"telephone_number": "970-243-9340",
"fax_number": "970-241-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 ORCHARD AVE",
"address_2": "SUITE I",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012997",
"telephone_number": "970-243-9340",
"fax_number": "970-241-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "STEVEN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "27609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01276096",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36539",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
- Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
- Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
- Obstetrix Medical Group of Colorado, PC
- Maya Obstfeld, MS, MFTC
- Traci Michelle Ochoa
- Elizabeth Erin Odil, MD
- Angela S Odom
- Arianna Odom, PT, DPT
- Odyssey Counseling Center, LLC
- Evan Richard Oeinck
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.