MR. PATRICK MICHAEL DONNELLY (NPI# 1083786040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083786040 |
| Entity Type | Individual |
| Full Name | MR. PATRICK MICHAEL DONNELLY |
| Credential | FNP |
| Practice Address |
9709 Bruton Rd Dallas TX 75217-2704 |
| Practice Telephone | 9722882844 |
| Practice Fax Number | 9722882859 |
| Mailing Telephone | 9722882844 |
| Mailing Fax Number | 9722882859 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
790443 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487137592 | Patrick Keyes Donnelly | Peer Specialist | 401 Fourth St, Fossil, OR 97830-8302 | 2018-09-13 |
| 1760792535 | Patrick Webb Donnelly | Pharmacist | 3420 North Scottsdale Road, Scottsdale, AZ 85251 | 2010-10-14 |
| 1144302696 | Patrick Francis Donnelly | Prosthetic/Orthotic Supplier | 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 | 2006-10-20 |
| 1588610463 | Patrick M Donnelly | Specialist/Technologist | 1 Folmer Drive, Cortland, NY 13045 | 2006-05-25 |
| 1720508625 | Patrick Eamon Donnelly | Chiropractor | 5001 Peachtree Blvd, Ste 625, Chamblee, GA 30341-2820 | 2017-06-21 |
| 1770994253 | Patrick Donnelly | Physician Assistant | 881 Uss James Madison Rd, Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547-2531 | 2014-05-18 |
| 1255591178 | Patrick G Donnelly | Nurse Anesthetist, Certified Registered | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2008-06-13 |
| 1104000819 | Patrick F Donnelly | Dentist | 105 Union Ave, Brielle, NJ 08730-1813 | 2007-12-18 |
| Street Address |
9709 BRUTON RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164479671 | Bruton Road Family Medical Association P A | Nurse Practitioner | 9709 Bruton Rd, Suite 800, Dallas, TX 75217-2704 | 2006-05-28 |
| 1962910828 | Mayela Delgado Angeles | Physician Assistant | 9709 Bruton Rd, Dallas, TX 75217-2704 | 2018-01-12 |
| 1336692235 | Lifecare Pharmacy of Dallas LLC | Pharmacy | 9709 Bruton Rd, Ste 900, Dallas, TX 75217-2704 | 2016-07-27 |
| 1275576530 | New Era Pharmacy LLC | Pharmacy | 9709 Bruton Rd, Ste 900, Dallas, TX 75217-2704 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc | Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.