Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Debra Sue Odom, PA

Individual provider Medical Physician Assistant · NPI 1316905110

Debra Sue Odom, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2003, 23 years ago. Practices with Southside Dermatology PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1717A S Utica Ave
Tulsa, OK 74104
Phone: (918) 748-1300
Fax: (918) 748-1303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1340 (OK)

Record details

NPI number1316905110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESJanuary 8, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southside Dermatology Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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