Reynard C Odenheimer MD a Professional Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

020159 Issued in LA

Legal business name

REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

816 W Bayou Pines Dr
Lake Charles, LA 70601-7077

Phone

(337) 439-5588

Fax

(337) 439-0808

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pat Gail Kersch, M.D.

Title

Office Manager

Phone

(337) 439-5588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reynard C Odenheimer, M.D.

  • Neurology Physician
  • Lake Charles, LA
  • NPI 1528158292
  Medicare reassignment NPD
• Thomas Howard McCalla, MD

  • Surgery Physician
  • Lake Charles, LA
  • NPI 1124006978
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1215326756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-439-5588",
            "fax_number": "337-439-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W BAYOU PINES DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017077",
            "telephone_number": "337-439-5588",
            "fax_number": "337-439-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "KERSCH",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-439-5588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "020159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rest-Assured Transportation
• Resthaven Nursing & Rehabilitation Center, LLC (Resthaven Nursing & Rehabilitation Center)
• Javier Nicolas Retamales Lepe, MD
• Revive Hydration and Wellness LLC (Revive Hydration and Wellness)
• Ana Karen Reyes, OT
• Randalla Taren Reynolds, APRN, FNP-C
• Don A Rhodes, CRNA
• Libbie Cradeur Rhodes, LPN
• Lindsey A Rhodes, PA-C
• Richard H. Kent M.D. Apmc

• Neurology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Neurology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.