Physician Compare National (NPI:1770677734)

HEALTHCARE PROVIDER: BEN J O'DELL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770677734
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729228242
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130705000341
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ODELL
	Individual professional last name
Provider First Name	BEN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	700 SAINT CHRISTOPHER DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	ASHLAND
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	411017061
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6068330333
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KING'S DAUGHTERS' MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360361
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KINGS DAUGHTERS MEDICAL CENTER OHIO
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360008
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHERN OHIO MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	180036
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OUR LADY OF BELLEFONTE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	510007
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST MARY'S MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1770677734)

HEALTHCARE PROVIDER: BEN J O'DELL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information