Deactivated NPI 1306105689 Deactivated / Inactive NPI Male Practitioner

William Douglas Odell

Specialist • Wilson, WY

⚠️

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, William Odell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2012

NPI Deactivation Date January 18, 2023

Total Practice Duration ~11 Years of Practice (2012 – 2023)

Professional Overview & Biography Verified Profile Summary

William Odell was a registered Specialist practicing in Wilson, WY. Throughout an active medical career spanning 11 years, William Odell provided care at the practice location at 5445 COTTONWOOD CANYON ROAD until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

5445 Cottonwood Canyon Road

Wilson, WY 83014

Telephone 3077334360

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wilson, WY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Wilson, WY (61 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

State License WY 5921A

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.

Career & Practice History Timeline

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

8 Historical Events

⚠️

NPI Profile Deactivated January 18, 2023

Record deactivated on January 18, 2023

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2022

Specialist (License #5921A in WY)

✅

NPI Profile Active May 08, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2012

Registered at 5445 COTTONWOOD CANYON ROAD, WILSON, WY 83014 (Tel: 3077334360)

📍

Updated Business Mailing Address May 08, 2012

Registered at P.O. BOX 76, WILSON, WY 830140076 (Tel: 3077334360)

👤

Provider Name / Credentials Updated May 08, 2012

Recorded as WILLIAM ODELL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2012

Specialist (License #5921A in WY)

🟢

Initial NPI Registration & Enumeration May 08, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for William Odell. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306105689

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2012

Last Update: May 08, 2012

Deactivation Date: January 18, 2023

Update or Correct Profile

Mailing Address

P.o. Box 76

Wilson, WY 830140076

Phone: 3077334360

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.