Odero Consultants

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

41308 Issued in AZ

Legal business name

ODERO CONSULTANTS

Practice address

7000 N 16TH St Ste 120
Phoenix, AZ 85020-5524

Phone

(855) 541-2862

Fax

(405) 716-4808

NPI assigned

Apr 7, 2015

Last updated

Oct 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy O Odero, M.DNPI 1417167313

Title

MD

Phone

(405) 563-3998

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy O Odero, MD

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1417167313
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1942695978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST",
            "address_2": "STE 120 # 199",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 N 16TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205524",
            "telephone_number": "855-541-2862",
            "fax_number": "405-716-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODERO CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "ODERO",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "405-563-3998",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "41308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Roxanne Odell
• Renee Odell, ST
• Odella Home Care Services LLC
• Audra Raquel Oden, NMD
• Kimberly Odendahl, COTA/L
• Randy O Odero, MD
• Ryan Andrew Odgers, M.D.
• Elizabeth Clara Odhner, NP
• Jason Anthony Odhner, RN, CCRN
• Grace Odigie

• Infectious Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Infectious Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.