Mr. Wallace Paul Odom is a Huntsville, Alabama based nurse anesthetist with 50 years of experience as Anesthesia Administration. He completed he graduation in 1975. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Wallace Paul Odom is 1-071049 for Anesthesia Administration in Alabama. his current practice location is 911 Big Cove Rd Se, Huntsville. Patients can reach him at 256-265-8120 or can fax him at 256-265-8969. Mr. Wallace Paul Odom is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1508830308. Mr. Wallace Paul Odom is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Wallace Paul Odom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
50+ years
Medical School Attended:
Other
Graduation Year:
1975
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
911 Big Cove Rd Se, Huntsville, Alabama, 35801-3750
Phone:
256-265-8120
Fax:
256-265-8969
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678527512
Enrollment ID:
I20050303000657
NPI Number:
1508830308
NPI Enumeration Date:
16 Feb, 2006
NPI Last Update On:
04 Dec, 2008
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Wallace Paul Odom are as mentioned below.
License Number
Specialization
State
Status
1-071049
Anesthesia Administration
Alabama
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Huntsville Hospital (010039)
Huntsville, AL
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Wallace Paul Odom has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Huntsville Hospital Anesthesia (7315990751)
142
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Wallace Paul Odom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
051526353
Medicaid
Alabama
51526353
Other
Alabama
BCBS #
P00216451
Other
Alabama
RR MEDICARE #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1389, Huntsville, Alabama
Zip:
35807-0389
Phone Number:
205-979-5882
Fax Number:
205-979-1248
Patients can reach Mr. Wallace Paul Odom at 911 Big Cove Rd Se, Huntsville, Alabama or can call to book an appointment on 256-265-8120.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.