Glynn Whiddon Odom, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-020588 Issued in AL

Practice address

200 Medical Center Drive
Fort Payne, AL 35967

Phone

(256) 845-3150

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Management Group of North Alabama,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Valley Head, AL
  • NPI 1003154238
  NPD (past)
• Dekalb Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Fort Payne, AL
  • NPI 1376625863
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447275490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680045",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681601",
            "telephone_number": "256-635-0991",
            "fax_number": "256-635-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "GLYNN",
        "middle_name": "WHIDDON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-020588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northside Medical, Inc.
• Northside Onsite Medical Services, Inc.
• Casey Nowlin
• Steve L Nunley, CRNA
• Lauren Obenlander
• Karole Kelley Ohme, LPC
• Cathy Annette Olinger, C.N.M.,F.N.P.
• Angel Orozco
• PA Chiropractic Clinic, LLC
• Palmer Orthopaedic & Sports Medicine, PC

• Certified Registered Nurse Anesthetist in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.