MR. ROBERT EDWARD MACDONNELL


Address: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025
Phone: 7034417500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider 0119002314 VA Other Service Providers

Office Location

Street Address 700 FETTLER PARK
DUMFRIES HEALTH CENTER
City DUMFRIES
State VA
Zip Code 22025

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City DUMFRIES
Zip Code 22025

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Dataset Information

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.

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