Active NPI
Lorrie F Odom, MD
- Hematology & Oncology Physician
- Denver, CO
National Provider Identifier
1295823185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 19123
- Practice address
- 1601 E 19TH Ave
Suite 6600
Denver, CO 80218-1292 - Phone
- (303) 832-2344
- Fax
- (303) 832-3721
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 19123 | CO | Primary |
Addresses
Primary practice location
1601 E 19TH Ave
Suite 6600
Denver, CO 80218-1292
Mailing address
720 S Colorado Blvd
Suite 220a
Glendale, CO 80246-1912
Phone (303) 584-8231
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59931744 | Other | CO | MEDICAID GROUP NUMBER |
| C809609 | Other | CO | MEDICARE GROUP NUMBER |
| 01191238 | Medicaid | CO | |
| 88150062 | Other | CO | MEDICAID PRACTICE GROUP # |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19123 | CO | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1295823185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S COLORADO BLVD",
"address_2": "SUITE 220A",
"city": "GLENDALE",
"state": "CO",
"postal_code": "802461912",
"telephone_number": "303-584-8231",
"fax_number": "866-210-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 19TH AVE",
"address_2": "SUITE 6600",
"city": "DENVER",
"state": "CO",
"postal_code": "802181292",
"telephone_number": "303-832-2344",
"fax_number": "303-832-3721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "LORRIE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CO",
"license": "19123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "59931744",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "C809609",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01191238",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PRACTICE GROUP #",
"identifier": "88150062",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.