Elaine Odiase

Pediatric Gastroenterology | Female

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Complete Profile:

Elaine Odiase basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Elaine Odiase
Gender :	Female

Business Address:

Elaine Odiase address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 517-7 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-6711
Fax Number :	501-364-6291

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1467871509
NPI Entity Type :	Individual
First Enrolment Date :	15 Apr, 2014
Last Updated On :	02 Aug, 2022

Medicare Participation:

Elaine Odiase participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2062839087
Medicare Enrollment ID :	I20200904000057
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Southwestern Medical School At Dallas
Graduation Year :	2014
Accepts Medicare?	Yes. Elaine Odiase accepts medicare insurance.

Group Practice Association:

Elaine Odiase is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elaine Odiase is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elaine Odiase are as mentioned. Primary taxonomy code for Elaine Odiase is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	E-13483	AR
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	E-13483	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100
Fax Number :	501-364-4082

Business Location:

Patients can refer following map for directions to Elaine Odiase practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.