Dr. John Crossan Odonovan , MD
Pediatrics • Baltimore, MD
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 Odonovan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Odonovan, MD was a registered Pediatrics practicing in Baltimore, MD. Throughout an active medical career spanning 19 years, Dr. Odonovan provided care at the practice location at 2112 DUNDALK AVE until profile deactivation on 2025-03-20.
Practice Location & Contact Primary Location
2112 Dundalk Ave
Baltimore, MD 212223714
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Baltimore, MD
Practicing in Baltimore, MD (1907 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Pediatrics
Certified Pediatric Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Pediatrics
Certified Registered Nurse Practitioner
Nutritionist
Master of Science, Registered Nurse, Licensed Dietitian Nutritionist, Clinical Nurse Specialist
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2025
NPI status registered as active in NPPES database
Registered at 2112 DUNDALK AVE, BALTIMORE, MD 212223714 (Tel: 4102841133)
Registered at 2112 DUNDALK AVE, BALTIMORE, MD 21222 (Tel: 4102841133)
Recorded as JOHN ODONOVAN, MD
Pediatrics (License #D07632 in MD)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2112 Dundalk Ave
Baltimore, MD 21222
Phone: 4102841133
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