Robert Francis O'Dea, M.D., PH.D.

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

22222 Issued in MN

Practice address

576 Eben CT
Stillwater, MN 55082-3725

Phone

(651) 353-4147

Fax

(651) 439-1930

NPI assigned

May 22, 2010

Last updated

May 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1679892251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 EBEN CT",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550823725",
            "telephone_number": "651-353-4147",
            "fax_number": "651-439-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 EBEN CT",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550823725",
            "telephone_number": "651-353-4147",
            "fax_number": "651-439-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DEA",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "MN",
            "license": "22222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nowak, LPCC
• Asia Kai Nueman
• Jamie Nupen
• Nuview Psychological Services
• Brianna C O'Connor
• Josephine O'Gara, MD
• Carissa Karen O'Hara, NP-FAMILY
• Charles Dennis O'Hare, MD
• Chase Brendan O'Keefe, D.C.
• Oak Hill Wellness

• Clinical Pharmacology Physician in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Clinical Pharmacology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.