Casey Corner Odo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

312955 Issued in LA

Practice address

2840 Florida Blvd
Baton Rouge, LA 70802-2721

Phone

(225) 224-8690

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • Metairie, LA
  • NPI 1871823740
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment
• Louisiana Pain Specialists, LLC

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1922810696
  NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1972162311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9034 SOUTHLAWN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102680",
            "telephone_number": "318-305-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708022721",
            "telephone_number": "225-224-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODO",
        "first_name": "CASEY",
        "middle_name": "CORNER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "312955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ochsner Pharmacy and Wellness LLC
• Tamara Odeh
• David Odendahl
• Keith Wayne Odendahl, N.P.
• Anne Patrice Odenweller, DC
• Leandre Odom Jr.
• Ma'Kayla Odom
• Taylor Jene' Odom, LPC
• Molly Odowd, MCD, CCC-SLP
• Odyssey Healthcare Operating B LP

• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.