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Odom Sports Medicine, P.A.

Sports Medicine (Family Medicine) Physician in Waconia, MN · enumerated 2013 · authorized official John Odom, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740625870

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Registry record

Entity type Organization (Type 2)
Legal business name Odom Sports Medicine, P.A.
Other name <Unavail>
Parent organization Odom Sports Medicine, P.A.
Practice address 500 S Cherry St, Waconia, MN, 55387
Enumeration date May 2, 2013
Last updated in NPPES May 2, 2013

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name John Odom
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Odom Sports Medicine, P.A.?
The NPI for Odom Sports Medicine, P.A. is 1740625870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Odom Sports Medicine, P.A.?
NPPES lists John Odom (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-02.