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JACOB COLIN O'DELL MD
NPI 1184281602
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since May 20, 2019PECOS Enrolled
800 STANTON L YOUNG BLVD # 9000, OKLAHOMA CITY, OK 73104(405) 271-7912 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2019, May 20, 2019 (2 updates tracked since 2019).

About Jacob Colin O'dell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB COLIN O'DELL MD (NPI 1184281602) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma, licensed in Oklahoma (1184281602) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184281602
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB COLIN O'DELLCredential: MD
Location Address800 STANTON L YOUNG BLVD # 9000Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young Blvd # 9000Oklahoma City, OK 73104-5018 · (405) 271-7912
Phone(405) 271-7912
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateJune 6, 20192 updates tracked since enumeration
✔ NPI 1184281602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OK · 1184281602
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 STANTON L YOUNG BLVD # 9000, Oklahoma City, OK 73104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Colin O'dell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE KIMMELL MD
Surgery
800 STANTON L YOUNG BLVD # 9000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7912
ALISA CROSS MD
Surgery
800 STANTON L YOUNG BLVD # 9000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5781
ARTHUR DINKINS GRIMES MD
Surgery (Surgical Critical Care)
800 STANTON L YOUNG BLVD # 9000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7912
DR. RACHEL LEANNE DAVIS MD
Surgery
800 STANTON L YOUNG BLVD # 9000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-7912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob O'dell's NPI number?

The NPI number for Jacob O'dell is 1184281602. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Jacob O'dell located?

Jacob O'dell practices at 800 Stanton L Young Blvd # 9000, Oklahoma City, OK 73104. The listed phone number is (405) 271-7912.

What is Jacob O'dell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacob O'dell enrolled in Medicare?

Yes. Jacob O'dell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob O'dell was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.