Odyssey Primary Care Center, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ODYSSEY PRIMARY CARE CENTER, LLC

Practice address

2708 Paoli Pike Ste I
New Albany, IN 47150-5100

Phone

(812) 725-0985

Fax

(812) 704-5722

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Amy Renee Bedan Poff, N.P.

Title

Owner

Phone

(502) 777-7195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1538575584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 PAOLI PIKE STE I",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505100",
            "telephone_number": "812-725-0985",
            "fax_number": "812-704-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 PAOLI PIKE STE I",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505100",
            "telephone_number": "812-725-0985",
            "fax_number": "812-704-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "BEDAN POFF",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-777-7195",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Oakes, RPH
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• Jonathan Obert, MD
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• Hailey Micheal Odom
• Monica Offenburg
• Amy Louise Ogden
• Jada Samone Oglesby, RBT
• Ohio River Anesthesia
• Ohio Valley ENT & Allergy LLC

• Primary Care Clinic/Center in New Albany, IN
• Providers in New Albany, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.