Smith, Mark O'Dell

Smith, Mark O'Dell is an individual health care provider with primary practice located at Lewis Gale Medical Center 1900 Electric Road, Salem VA 24153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Smith, Mark O'Dell can be contacted via phone (540) 776-4000.

Contact Information

Primary practice address
Lewis Gale Medical Center 1900 Electric Road Salem VA 24153
Phone: (540) 776-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2018-01853 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101-040639 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 40212 South Carolina
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101-040639 Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 40212 South Carolina

Profile Details

NPI number 1275505026
LBN Legal business name Smith, Mark O'Dell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275505026 NPPES
Virginia MEDICAID 010018919
Virginia Other SC97127628
Virginia MEDICAID 1275505026
Virginia MEDICAID 402120
Virginia Other 40212

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