MICHAEL J ODONOGHUE (NPI# 1285711192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285711192 |
| Entity Type | Individual |
| Full Name | MICHAEL J ODONOGHUE |
| Credential | M.D. |
| Practice Address |
11110 Medical Campus Rd Hagerstown MD 21742-6700 |
| Practice Telephone | 3016654901 |
| Practice Fax Number | 3016654941 |
| Mailing Telephone | 3016654901 |
| Mailing Fax Number | 3016654941 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D59367 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | GHI | R5110006 | 01 |
| MD | BLUE SHIELD | 60181101 | 01 |
| Street Address |
11110 MEDICAL CAMPUS RD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427135326 | Gary M Mire | Pathology | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1730422973 | Lynette Alise Khan Parker | Pathology | 4301 Jones Bridge Rd Bldg B3102, Bethesda, MD 20814-4799 | 2013-04-05 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1164780367 | James Lyman Hall | Pathology | 11203 Neelsville Church Rd, Germantown, MD 20876-4130 | 2012-04-25 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1780975821 | Leroy Benjamin Buckler | Pathology | 1270 Old Madison Rd, Madison, MD 21648-1102 | 2011-04-24 |
| 1356653653 | Deepty Bhansali | Pathology | 10218 Shining Willow Dr, Rockville, MD 20850-5462 | 2010-07-02 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.