Odyssey Anesthesia PA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

K3517 Issued in TX

Legal business name

ODYSSEY ANESTHESIA PA

Practice address

1616 Camino Lago
Irving, TX 75039-3212

Phone

(972) 668-7460

Fax

(972) 668-7467

NPI assigned

Aug 26, 2009

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hung J Vu, MDNPI 1548234610

Title

Owner

Phone

(972) 668-7460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hung J Vu, MD

  • Anesthesiology Physician
  • Desoto, TX
  • NPI 1548234610
  Medicare reassignment Authorized official
• Kim Vu, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Waxahachie, TX
  • NPI 1598315194
  NPD (past)

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1487887287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ",
            "address_2": "SUITE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094820",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CAMINO LAGO",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393212",
            "telephone_number": "972-668-7460",
            "fax_number": "972-668-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-668-7460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K3517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oceanic Home Health Agency, Inc (Oceanic Home Health Agency)
• Karin Ochsner, RDN
• Araba Afenyiwa Odum, PHARMD
• Elisa Nicole Odunukwe, FNP
• Isaac Oduroh, PT, DPT
• Ho Bing Patrick Oei, MD
• Michelle Ogbeide, DC
• Akpojaro Janet Ogbon, MA, LPC
• Elizabeth Chinyere Ogbonna
• Oge Olivia Jackson-Okeke

• Anesthesiology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.