NPIMap

Individual provider Active NPI

Odeane H Connor, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gadsden, AL
National Provider Identifier
1528049558
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
23743 Issued in AL
Practice address
402 S 6TH St
Gadsden, AL 35901-4107
Phone
(256) 546-9558
Fax
(256) 546-9975
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 23743 AL Primary

Addresses

Primary practice location

402 S 6TH St
Gadsden, AL 35901-4107

Mailing address

402 S 6TH St
Gadsden, AL 35901-4107
Phone (256) 546-9558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040611000626 AL Practitioner - Pain ManagementPractitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 8224010392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Meharry Medical College School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality of Life Health Services Inc 39 clinicians

Practice addresses (Care Compare)

1411 Piedmont Cutoff
Gadsden, AL 35903-2708
Phone (256) 492-0131

402 S 6TH St
Gadsden, AL 35901-4107
Phone (256) 546-9558

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23743ALMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Nov 4, 2017 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Nov 4, 2017 Accepting new patients
Southeastern Wound Care CurrentSince Apr 26, 2004 Accepting new patients
Quality of Life Health Services Inc Past Accepting new patients

Locations

601 Leighton Ave
Anniston, AL 36207
Phone (256) 238-1154

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

402 S 6th St
Gadsden, AL 35901
Phone (256) 546-9558

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

Interoperability endpoints

  • Direct secure messaging: oconnor333163@direct.ochin.org

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 6

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1528049558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014107",
            "telephone_number": "256-546-9558",
            "fax_number": "256-546-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014107",
            "telephone_number": "256-546-9558",
            "fax_number": "256-546-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "ODEANE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "23743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.