DR. RANDALL R ODEM MD
NPI 1336165554
Obstetrics & Gynecology - Reproductive Endocrinology in Saint Louis, MO

Q: What is Randall Odem's NPI number?

The NPI number for Randall Odem is 1336165554. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Randall Odem's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Q: When was this NPI record last updated?

The NPPES record for Randall Odem was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 14, 2006

4444 FOREST PARK AVE STE 3100, STE 3100, SAINT LOUIS, MO 63108(314) 286-2400(314) 286-2455 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Randall R Odem Md NPPES

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

DR. RANDALL R ODEM MD (NPI 1336165554) is an individual reproductive endocrinology provider in Saint Louis, Missouri, licensed in Missouri (R7E33) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336165554

Entity TypeIndividualMale

Primary Taxonomy207VE0102X

Provider Legal NameDR. RANDALL R ODEMCredential: MD

Location Address4444 FOREST PARK AVE STE 3100, STE 3100Saint Louis, MO 63108-2212

Mailing Address660 S Euclid Ave, C B 8064Saint Louis, MO 63110-1010 · (314) 286-2400 · Fax (314) 286-2455

Phone(314) 286-2400

Fax(314) 286-2455

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateNovember 27, 2023

✔ NPI 1336165554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

License✔ Licensed in MO · R7E33

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

4444 FOREST PARK AVE STE 3100, Saint Louis, MO 63108

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Other Identifiers 2

MedicaidENROLLEDIL

Medicaid202236402MO

Other Providers at the Same Location NPPES 2

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

DR. KELLE H MOLEY MD

Obstetrics & Gynecology (Reproductive Endocrinology)

4444 FOREST PARK AVE STE 3100, STE 3100
SAINT LOUIS, MO 63108

St. Louis City (314) 286-2400

DR. RAND RAED FUAD ELSHARAIHA MD

Student in an Organized Health Care Education/Training Program

4444 FOREST PARK AVE STE 3100
SAINT LOUIS, MO 63108

St. Louis City (314) 362-8895

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 Randall Odem's NPI number?

The NPI number for Randall Odem is 1336165554. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Randall Odem located?

Randall Odem practices at 4444 Forest Park Ave Ste 3100 Ste 3100, Saint Louis, MO 63108. The listed phone number is (314) 286-2400.

What is Randall Odem's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Randall Odem was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.