Edward Robert O'Dell, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS011174L Issued in PA

Practice address

625 N Pottstown Pike
Exton, PA 19341-1628

Phone

(610) 903-0640

Fax

(610) 903-0637

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Edward Robert O'Dell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: eodell2015413@direct.trinity-health.org

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.

• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952407108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STEEPLE CHASE DR",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601545",
            "telephone_number": "610-656-8791",
            "fax_number": "610-903-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N POTTSTOWN PIKE",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411628",
            "telephone_number": "610-903-0640",
            "fax_number": "610-903-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS011174L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "O'DELL",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph Nowoslawski, MD
• Nurture Counseling Services, LLC
• Bonnie M Nye, M.D.
• Christina Danielle O'Brien, MA, LPC
• David H O'Brien, LPC
• Dennis J. O'Hara, PH.D., ABPP
• Alyson O'Malley, PHARMD
• Abigail Mackenzie O'Neill
• Margaret R. O'Reilly, M.A.P.T.
• Joseph Charles O'Rourke, LCSW, BCD, CTS

• Internal Medicine Physician in Exton, PA
• Providers in Exton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.