DR. JOHN BRIAN O'DONNELL


Address: 1920 E 3rd St, Bloomington, IN 47401-3739
Phone: 8123364006

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01043101 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200028330A 05
IN TRAVELLERS MCR PIN P080071221 01

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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

Office Location

Street Address 1920 E 3RD ST
City BLOOMINGTON
State IN
Zip Code 47401-3739

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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
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City BLOOMINGTON
Zip Code 47401

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Dataset Information

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.

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