DR. MICHAEL RENE O'DONNELL (NPI# 1225268568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225268568 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RENE O'DONNELL |
| Credential | D.C. |
| Practice Address |
10443 Illinois Rd Fort Wayne IN 46814-9181 |
| Practice Telephone | 2606255144 |
| Practice Fax Number | 2606255264 |
| Mailing Telephone | 2606255144 |
| Mailing Fax Number | 2606255264 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2018-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002467A | IN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1164537742 | Michael O'donnell | Dentist | 37 Bloomfield Ave, Iselin, NJ 08830-2139 | 2006-08-21 |
| 1366460800 | Michael Bruce O'donnell Sr. | Audiologist-Hearing Aid Fitter | 2525 Fifth Ave South, Suite 2, Escanaba, MI 49829-1204 | 2006-07-17 |
| 1760999031 | Michael Joseph O'donnell Jr. | Counselor | 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403 | 2018-01-08 |
| 1609223676 | Michael O'donnell | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2016-05-19 |
| 1467845024 | Michael O'donnell | Physical Therapist | 105 Vineyard Way, Suite 100, West Grove, PA 19390-8849 | 2015-03-06 |
| 1174931737 | Michael Christopher O'donnell | Pharmacist | 321 Killian Rd, Columbia, SC 29203-9607 | 2014-07-28 |
| 1255592291 | Michael Joseph O'donnell | Physical Therapist | 160 Nw Central Park Plz, Suite 108, Port St Lucie, FL 34986-1825 | 2008-06-23 |
| 1295952794 | Michael O'donnell | Counselor | 11059 E Bethany Dr, Ste 200, Aurora, CO 80014-2622 | 2007-04-19 |
| 1174657290 | Michael O'donnell | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2007-03-14 |
| Street Address |
10443 ILLINOIS RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46814-9181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811176563 | Nicole Henline | Physical Therapy Assistant | 10443 Illinois Rd, Fort Wayne, IN 46814-9181 | 2007-10-30 |
| 1316582885 | Dominic David Schultz | Chiropractor | 10443 Illinois Rd, Fort Wayne, IN 46814-9181 | 2019-11-08 |
| 1275776643 | Natalie Jones Neiswonger | Physical Therapist | 10443 Illinois Rd, Fort Wayne, IN 46814-9181 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
| 1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
| 1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
| 1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
| 1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
| Find all providers in zip 46814 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891236 | Lindsay Mack | Chiropractor | 6121 Stoney Creek Dr, Fort Wayne, IN 46825-4408 | 2018-05-13 |
| 1114438595 | Anne Therese Venderley | Chiropractor | 6388 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-3075 | 2017-10-12 |
| 1720506413 | Crossroads Wellness Center, LLC | Chiropractor | 9206 Lima Rd, Fort Wayne, IN 46818-1806 | 2017-09-01 |
| 1134575095 | New Life Health & Wellness Sw, LLC | Chiropractor | 10210 Chestnut Plaza Dr, Fort Wayne, IN 46814-8970 | 2016-05-10 |
| 1518359371 | Jennifer Michele Williams | Chiropractor | 122 E Collins Rd, Fort Wayne, IN 46825-5302 | 2015-03-03 |
| 1609209691 | Caleb Parker Suciu | Chiropractor | 1114 W. Cook Road, Fort Wayne, IN 46825 | 2013-08-14 |
| 1417297839 | Spine Center of Fort Wayne | Chiropractor | 3417 E State Blvd, Fort Wayne, IN 46805-4830 | 2013-02-21 |
| 1821335936 | Northeast Chiropractic Center, Inc | Chiropractor | 6633 E State Blvd, Ste 200, Fort Wayne, IN 46815-7010 | 2013-01-09 |
| 1558612929 | Chiropractic Care & Wellness Center, LLC | Chiropractor | 6388 W Jefferson Blvd, Suite B, Fort Wayne, IN 46804-3075 | 2012-09-26 |
| 1831475755 | Thomas Chiropractic | Chiropractor | 3162 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2011-10-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46814 |
Please comment or provide details below to improve the information on DR. MICHAEL RENE O'DONNELL.
| 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.