DR. JOHN BRIAN O'DONNELL (NPI# 1477679405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477679405 |
Entity Type | Individual |
Full Name | DR. JOHN BRIAN O'DONNELL |
Credential | M.D. |
Practice Address |
1920 E 3rd St Bloomington IN 47401-3739 |
Mailing Address |
1920 East Third Street Bloomington IN 47401-3739 |
Practice Telephone | 8123364006 |
Practice Fax Number | 8123361960 |
Mailing Telephone | 8123364006 |
Mailing Fax Number | 8123361960 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2007-12-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 01043101 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200028330A | 05 | |
IN | TRAVELLERS MCR PIN | P080071221 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598182131 | John O'donnell IIi | Registered Nurse | 1518 Crestwood Rd, Mayfield Hts, OH 44124-3331 | 2014-03-20 |
1316112998 | John James O'donnell | Pharmacist | 9148 71st Rd, Forest Hills, NY 11375-6711 | 2008-04-24 |
1245313998 | John James O'donnell | Specialist/Technologist | 107 Louise Dr, Boothwyn, PA 19061-2488 | 2006-10-23 |
1205890282 | John Thornton O'donnell | Psychiatry & Neurology | 68 E 79th St, New York, NY 10021-0224 | 2006-04-14 |
1962462093 | John M O'donnell | Psychologist | 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 | 2006-03-24 |
1679922751 | John O'donnell | Internal Medicine | 42 E Laurel Rd, Suite 3100, Stratford, NJ 08084-1354 | 2016-06-08 |
1093008823 | John Bernard O'donnell Jr. | Dentist | 29 Church St, Lake Placid, NY 12946-1805 | 2011-05-26 |
1073806824 | John Shannon O'donnell | Radiology | 300 Community Dr, Department of Radiology, Manhasset, NY 11030-3816 | 2011-05-25 |
1598999153 | John Glenn O'donnell | Pharmacist | 559 Vincent St, 21 Amds/sgsd - Pharmacy, Peterson Afb, CO 80914-1540 | 2009-05-12 |
1982704490 | John M O'donnell | Anesthesiology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-24 |
Street Address |
1920 E 3RD ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47401-3739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
Find all providers in zip 47401 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073165650 | Genevieve Elon Monge | Family Medicine | 18651 Valley Blvd, Bloomington, CA 92316-1831 | 2019-07-12 |
1982117172 | Andry Medical Services | Family Medicine | 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 | 2017-11-09 |
1033459904 | Charles R Farmer | Family Medicine | 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 | 2013-02-28 |
1467798504 | James Anthony Ray | Family Medicine | 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 | 2012-12-18 |
1902140585 | Fountain Healthcare Limited Liability Company | Family Medicine | 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 | 2012-11-20 |
1306147236 | Community Health Network | Family Medicine | 524 N Fairview St, Bloomington, IN 47404-3774 | 2010-11-09 |
1942501978 | Premier Medical Group, LLC | Family Medicine | 2102 E Washington St, Bloomington, IL 61701-4321 | 2010-11-08 |
1356660666 | Glen Edward Tomlinson | Family Medicine | 42 Crista Ann Ct, Bloomington, IL 61704-8699 | 2010-05-26 |
1285862664 | Charles W Mcclary | Family Medicine | 1411 S Sare Rd, Bloomington, IN 47401-4431 | 2009-06-24 |
1982840005 | Thomas Patterson Cairns | Family Medicine | 10258 Berkshire Rd, Bloomington, MN 55437-2265 | 2008-12-18 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47401 |
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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.