NPIMap

Individual provider Active NPI

Montana Joe O'Dell, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1447747860
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S5236 Issued in TX
Practice address
1400 S Coulter St Ste 5100
Amarillo, TX 79106-1786
Phone
(806) 414-9559
Fax
(806) 351-3765
NPI assigned
Apr 20, 2018
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X S5236 TX Primary

Addresses

Primary practice location

1400 S Coulter St Ste 5100
Amarillo, TX 79106-1786

Mailing address

1400 S Coulter St Ste 5100
Amarillo, TX 79106-1786
Phone (806) 414-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826001050 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3173871878 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Family Physicians Clinic, P.a.Group PAC ID 2163518390, 14 clinicians
Britten Healthcare LLCGroup PAC ID 8820430788, 3 clinicians

Practice addresses (Care Compare)

1215 S Coulter
Suite 100
Amarillo, TX 79106-1761

1215 S Coulter St
Amarillo, TX 79106-1761
Phone (806) 359-4701

6700 SW 9TH Ave
Suite C2
Amarillo, TX 79106-1701
Phone (806) 353-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Oct 5, 2020 Accepting new patients
Britten Healthcare, LLC Family Medicine CurrentSince Apr 23, 2024 Accepting new patients
Amarillo Family Physicians Clinic, P.a. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 10, 2020 Accepting new patients
Southwest Medical Associates, Inc. CurrentSince Jan 28, 2021 Accepting new patients

Locations

1215 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-4701

6700 SW 9th Ave
Ste C2
Amarillo, TX 79106
Phone (806) 214-2245

6700 W 9th Ave
Ste C
Amarillo, TX 79106
Phone (806) 350-6337

7561 Outlook Dr
Amarillo, TX 79106
Phone (806) 359-4701

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

Interoperability endpoints

  • Direct secure messaging: montanaodell@afpcpa.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1447747860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST STE 5100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9559",
            "fax_number": "806-351-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST STE 5100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-414-9559",
            "fax_number": "806-351-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "MONTANA",
        "middle_name": "JOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S5236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.