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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. AUDREY RAGAN ODOM JOHN MD PHD
NPI 1215949276
Pediatrics - Pediatric Infectious Diseases in Philadelphia, PA

Active since August 11, 2006
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(314) 616-5691 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2026, Jan 9, 2018, Nov 14, 2016 (3 updates tracked since 2016).

About Dr. Audrey Ragan Odom John Md Phd NPPES

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

DR. AUDREY RAGAN ODOM JOHN MD PHD (NPI 1215949276) is an individual pediatric infectious diseases provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD468283) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215949276
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. AUDREY RAGAN ODOM JOHNCredential: MD PHD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address734 Schuylkill AvePhiladelphia, PA 19146-2300 · (314) 616-5691
Phone(314) 616-5691
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1215949276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in PA · MD468283
Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Also ListedPediatricsTaxonomy 208000000X · License MD468283 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Audrey Ragan Odom Md

Other Identifiers 2

Medicaid1215949276MO
MedicaidENROLLEDIL

Other Providers at the Same Location NPPES 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Audrey John's NPI number?

The NPI number for Audrey John is 1215949276. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Audrey Ragan Odom MD.

Where is Audrey John located?

Audrey John practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (314) 616-5691.

What is Audrey John's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

When was this NPI record last updated?

The NPPES record for Audrey John was last updated on July 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.