MR. ROBERT EDWARD MACDONNELL (NPI# 1063710515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063710515 |
Entity Type | Individual |
Full Name | MR. ROBERT EDWARD MACDONNELL |
Credential | OCCUPATIONAL THERAPI |
Practice Address |
700 Fettler Park Dumfries Health Center Dumfries VA 22025 |
Mailing Address |
3700 Fettler Park Dumfries Health Center Dumfries VA 22025 |
Practice Telephone | 7034417500 |
Mailing Telephone | 7034417500 |
Enumeration Date | 2011-03-08 |
Last Update Date | 2013-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | 0119002314 | VA | Other Service Providers |
Street Address |
700 FETTLER PARK DUMFRIES HEALTH CENTER |
City | DUMFRIES |
State | VA |
Zip Code | 22025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114907037 | William Glynn Kotulan | Physical Therapist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2006-01-18 |
1659622546 | Hoangtam V Trang | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-10-02 |
1821348590 | Sandra R Thompson | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-09-10 |
1225385230 | Alyssa Armstrong | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-08-08 |
1063767135 | Alice Aliye Evcimen | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-07-16 |
1033464193 | Nhu Quynh Le | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-07-16 |
1780957217 | Dennis Kudzo Bedzo | Pharmacist | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2012-02-14 |
1902108137 | Lucia Isac Mitchell | Dietitian, Registered | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2010-11-19 |
1154637528 | Judy Lorraine Reynolds | Nurse Practitioner | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2010-08-24 |
1295048338 | Taffae Mayonette Cadeau | Nurse Practitioner | 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 | 2010-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622230 | Joanne Perdu-ouimet | Behavioral Analyst | Incredible Changes, 4191 Waterway Dr., Dumfries, VA 22025 | 2020-09-04 |
1194287524 | Above and Beyond Therapy LLC | Speech-Language Pathologist | 15389 Autum Ln, Dumfries, VA 22025 | 2019-04-04 |
1669954095 | Renee L Roberts | Registered Nurse | 4222 Fortuna Center Plaza Ste 280, Dumfries, VA 22025 | 2018-09-01 |
1689044869 | Tracy Agyeman-badu | Pharmacist | 4310 Fortuna Village Center Plaza, Dumfries, VA 22025 | 2015-10-01 |
1588054316 | Tiffany Washington | Pharmacy Technician | 16224 Taconic Cir, Dumfries, VA 22025 | 2015-02-02 |
1568706158 | Boulevard Center Pediatrics | Pediatrics | 3733 Fettler Park Dr., Dumfries, VA 22025 | 2012-11-20 |
1205111796 | Khanh T Le | Pharmacist | 17506 Cajun Ct, Dumfries, VA 22025 | 2011-10-15 |
1679737761 | Shailesh K Gohel | Pediatrics | 3733 Fettler Park Dr, Dumfries, VA 22025 | 2008-07-17 |
1376616268 | Douglas Kendrick Chan | Physical Therapist | 3767 Fettler Park Drive, Dumfries, VA 22025 | 2006-11-16 |
1861596454 | Paul Wells Conrad | Dentist | 16150 Country Club Drive, Dumfries, VA 22025 | 2006-09-12 |
Find all providers in zip 22025 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023637626 | Hands On Healing Therapy | Military Health Care Provider | 1901 Huguenot Rd Ste 106, North Chesterfield, VA 23235-4311 | 2020-04-13 |
1467019398 | Michael Gumpert | Military Health Care Provider | 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 | 2019-05-27 |
1942707690 | Kevin H Chen | Military Health Care Provider | 1640 Tomcat Blvd Ste 300, Virginia Beach, VA 23460-2229 | 2018-04-10 |
1396262903 | Spencer Nelson | Military Health Care Provider | 2122 Longfellow Rd, Yorktown, VA 23691-5118 | 2017-08-24 |
1770019937 | Mitchell Ayers | Military Health Care Provider | 4273 Llewellyn Ave Apt 401, Norfolk, VA 23504-1140 | 2017-05-10 |
1033572003 | Alan Joseph Nicotra | Military Health Care Provider | 1059 Bellinger Blvd, Norfolk, VA 23511-2298 | 2016-03-29 |
1376908939 | Savannah Bailey | Military Health Care Provider | 17019 Cass Brook Ln, Woodbridge, VA 22191-5162 | 2015-12-28 |
1427424621 | Willie Patrick Mitchell | Military Health Care Provider | 528 Minute Men Rd, Virginia Beach, VA 23462-2232 | 2015-08-11 |
1184011744 | Jacob Paul Reinhart | Military Health Care Provider | Us Fleet Forces Command 1562 Mitscher Ave Ste-250, Norfolk, VA 23551-2487 | 2015-04-22 |
1619154556 | Pacot Builders Inc | Military Health Care Provider | 315 Brookestone Dr, Forest, VA 24551 | 2008-01-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.