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Deactivated NPI 1073514766 Deactivated / Inactive NPI Male Practitioner

Dr. John A Odom , MD

Specialist • Lone Tree, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Odom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2005
NPI Deactivation Date April 03, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Odom, MD was a registered Specialist practicing in Lone Tree, CO. Throughout an active medical career spanning 20 years, Dr. Odom provided care at the practice location at 10103 RIDGEGATE PKWY until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

10103 Ridgegate Pkwy

Lone Tree, CO 801245520

Telephone 3032258120
Fax 3032258130
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lone Tree, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 33.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Lone Tree, CO (1204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. John Barker , MD

Orthopaedic Surgery

NPI 1013919117

Doctor of Medicine (M.D.)

Jefferson Hicks , PA

Physician Assistant - Surgical

NPI 1083013064

Physician Assistant

Dr. Eric Jamrich , MD

Orthopaedic Surgery

NPI 1134120884

Doctor of Medicine (M.D.)

Niel Hartwell , RN

Clinical Nurse Specialist - Medical-Surgical

NPI 1184013336

Registered Nurse

Dr. Chad Prusmack , MD

Neurological Surgery

NPI 1396844346

Doctor of Medicine (M.D.)

Michael Schweid , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1457418923

PHYSICIANASSISTANT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

NPI Profile Active October 24, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2007

Registered at 10103 RIDGEGATE PKWY, LONE TREE, CO 801245520 (Tel: 3032258120)

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Updated Business Mailing Address October 24, 2007

Registered at 10103 RIDGEGATE PKWY, LONE TREE, CO 801245525 (Tel: 3032258120)

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Provider Name / Credentials Updated October 24, 2007

Recorded as JOHN ODOM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2007

Specialist

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Initial NPI Registration & Enumeration August 03, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073514766
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2005
Last Update: October 24, 2007
Deactivation Date: April 03, 2025

Mailing Address

10103 Ridgegate Pkwy

Lone Tree, CO 801245525

Phone: 3032258120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.