DR. FREDERICK ROBERT O'DONNELL (NPI# 1306973490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306973490 |
Entity Type | Individual |
Full Name | DR. FREDERICK ROBERT O'DONNELL |
Credential | DDS |
Practice Address |
487 E 11th Ave Eugene OR 97401-3605 |
Practice Telephone | 5416869740 |
Mailing Telephone | 5416869740 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
5126 | OR | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED CONCORDIA | 709826 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023212511 | Frederick T O'donnell | Anesthesiology | 1 Hospital Dr, Columbia, MO 65201-0001 | 2007-06-11 |
Street Address |
487 E 11TH AVE |
City | EUGENE |
State | OR |
Zip Code | 97401-3605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
Find all providers in zip 97401 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
1427200138 | Eugene Endodotics LLC | Dentist | 2233 Willamette St Ste E, Eugene, OR 97405-2890 | 2008-10-14 |
1679738850 | Jim Everett Ruckman | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401-1751 | 2008-07-27 |
1891851424 | Karl Wagenknecht | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2006-12-28 |
1396283016 | Valley River Endodontics, LLC | Dentist | 750 Goodpasture Island Rd, Eugene, OR 97401 | 2017-02-01 |
1669857371 | Emily Case | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2015-07-23 |
1548319767 | Tian Xia | Dentist | 1380 Villard St, Eugene, OR 97403-1955 | 2007-01-09 |
1891857462 | Daniel Poulson Bitner | Dentist | 911 Country Club Rd, Suite # 140, Eugene, OR 97401-6044 | 2006-12-13 |
1588744809 | Michael Thomas Dryden | Dentist | 911 Country Club Rd, Suite 140, Eugene, OR 97401-6044 | 2006-10-17 |
Find all providers in EUGENE |
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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.