Search › Virginia › 363A00000X
Jonathan Odom
NPI 1497619282 · on the registry since 2025 · sole proprietor
Practice
- Address
- 301 Riverview Ave Ste 202a
Norfolk, VA 23510 - Phone
- (757) 252-9140
- Fax
- (757) 793-4149
- Organisation at this address
- Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical Group
Sentara Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Additional practice sites
- 7650 Cameron Ct, Mobile, AL
- 1080 First Colonial Rd Ste 400, Virginia Beach, VA
- 4000 Coliseum Dr Ste 200a, Hampton, VA
- 6251 E Virginia Beach Blvd Ste 300, Norfolk, VA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia