Olaide Odelola, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.206531 Issued in LA

Practice address

1001 Gause Blvd
Slidell, LA 70458-2939

Phone

(985) 643-2200

NPI assigned

Jun 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Coolidge Physician Services LLC

  • Hospitalist Physician
  • Lafayette, LA
  • NPI 1609298843
  NPD
• Main Street Physician Services LLC

  • Hospitalist Physician
  • New Iberia, LA
  • NPI 1396150785

  Physical Medicine & Rehabilitation

  NPD
• Opelousas Physician Services LLC

  • Hospitalist Physician
  • Opelousas, LA
  • NPI 1437492717
  NPD
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  NPD
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385
  NPD
• Houston Hospitalist Group LLC

  • Hospitalist Physician
  • Perry, GA
  • NPI 1831717511
  NPD
• Houston Hospitalist Group LLC

  • Hospitalist Physician
  • Warner Robins, GA
  • NPI 1962040147
  NPD

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1235450610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-643-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELOLA",
        "first_name": "OLAIDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.206531",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "MD.206531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ochsner Clinic, LLC
• Ochsner Medical Center - Northshore, L.L.C.
• Ochsner Medical Center - Northshore, LLC
• Ochsner Optics - Slidell
• Ochsner Pharmacy and Wellness LLC
• Nona Bell Odom, RN
• Teagan J Odom
• Cherie G Oertling, MD
• Robert J Oertling, MD
• Caithlan Jane Oheeron, LMT

• Internal Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.