Odyssey Infusions

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ODYSSEY INFUSIONS

Practice address

1600 W Chandler Blvd
Suite 160
Chandler, AZ 85224-6153

Phone

(480) 907-6337

Fax

(480) 621-8107

NPI assigned

Oct 3, 2011

Organization subpart

No

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

Authorized official

Name

Jacob S Oommen, M.D.

Title

General Partner

Phone

(480) 907-6337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1407130925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151113",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD",
            "address_2": "SUITE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246153",
            "telephone_number": "480-907-6337",
            "fax_number": "480-621-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY INFUSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "480-907-6337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.