John Scot Odle, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

462 Issued in AL

Practice address

1800 Birmingham Ave
Jasper, AL 35501-5461

Phone

(205) 384-4474

Fax

(205) 384-4428

NPI assigned

Nov 1, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jasper Podiatry Center, P.C.

  • Podiatric Clinic/Center
  • Jasper, AL
  • NPI 1558556225

  Podiatrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1902984834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BIRMINGHAM AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015461",
            "telephone_number": "205-384-4474",
            "fax_number": "205-384-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BIRMINGHAM AVE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015461",
            "telephone_number": "205-384-4474",
            "fax_number": "205-384-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLE",
        "first_name": "JOHN",
        "middle_name": "SCOT",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "76296",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480034067",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE #",
            "identifier": "157",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Alabama Psychiatric Services
• Northwest Alabama Psychiatric Services
• Heather Madison Nunnelley, NP
• Marcus Wade O'Mary, DC
• OB GYN Specialists of Alabama, P.C.
• Amanda Jo Odom, FNP-C
• Crystal Odom
• Tiffany W Oliver, CRNP
• Open MRI Jasper, LLC
• Claude Osula, M.D.

• Podiatrist in Jasper, AL
• Providers in Jasper, AL by specialty
• Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.