Odile J Anderson Oddo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Scranton, PA
NPI 1366472953 · NPPES record last updated Dec 2, 2019
Key facts
- NPI
- 1366472953
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN642513 (PA)
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 703-8259
- Fax
- (570) 703-7250
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia III PA
Practice addresses (Care Compare)
1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544
Hospital & facility affiliations
- Medical City Fort Worth
- Baylor Scott and White All Saints Medical Center
- Baylor Scott & White Heart & Vascular Hospital - Dallas
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702000414 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6901831163 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN642513 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Valhalla Anesthesia Associates, PC | Past | Accepting new patients | |
| Mountain Laurel Surgery Center, LLC | Past | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 430
Arlington, TX 76006
Phone (239) 321-5029
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 546249 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | RN642513 | PA | Yes |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other names
- Odile J Anderson
Other providers in Scranton, PA
- Mary A Amico
- Michelle Amico
- Zyad Amin
- Mohammad Asim Amjad
- Amskrobola PLLC
- Charles Carter Anderson
- Jillian Anderson
- Andrew Brown'S Drug Store, Inc.
- Andrew Brown'S Drug Store, Inc.
- Andrew Brown'S Drug Store, Inc.
All providers in Scranton, PA · Certified Registered Nurse Anesthetist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.