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

Mr. Wallace Paul Odom, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1508830308

Mr. Wallace Paul Odom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Huntsville, Alabama. Qualified in 1975, 51 years ago. Practices with Huntsville Hospital Anesthesia, a 158-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
51
Licensed in
AL
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

911 Big Cove Rd SE
Huntsville, AL 35801-3750
Phone: (256) 265-8120
Fax: (256) 265-8969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1-071049 (AL)

Record details

NPI number1508830308
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESDecember 4, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Huntsville Hospital Anesthesia — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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