Ode Medical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MD16434 Issued in DC

Legal business name

ODE MEDICAL LLC

Practice address

6323 Georgia Ave NW
Suite 200
Washington, DC 20011-1101

Phone

(202) 291-1148

Fax

(202) 291-1205

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Diane M Cotton

Title

Admimistrative Director

Phone

(301) 873-2529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1699906594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14725 JAYSTONE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209057410",
            "telephone_number": "301-989-0651",
            "fax_number": "301-384-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111101",
            "telephone_number": "202-291-1148",
            "fax_number": "202-291-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIMISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "301-873-2529"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DC",
            "license": "MD16434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenash T Oda
• Carlian Odae, LICSW
• Esther Odagbodo
• Omotayo Odagbodo
• Christina Noelle Oddo, APRN
• Akanji Odeboh
• Mercy Lizzy Odedele
• Bolanle T Odeja
• Folashade Dane Odejimi
• Olukayode Odejimi

• Ambulatory Surgical Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Ambulatory Surgical Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.