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

Mitchell Odom, MD

Individual provider Emergency Medicine Physician · NPI 1831570662

Mitchell Odom, MD is an Emergency Medicine in Milwaukee, Wisconsin. Graduated from Vanderbilt University School of Medicine in 2015, 11 years ago. Practices with Epmg of Michigan PC, a 108-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
11
Trained at
Vanderbilt University School of Medicine
Licensed in
MI, WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6717
Fax: (414) 805-6428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 73663 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 4301119164 (MI)

Record details

NPI number1831570662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Epmg Of Michigan Pc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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