PATRICK KEYES DONNELLY


Address: 401 Fourth St, Fossil, OR 97830-8302
Phone: 5412566300

PATRICK KEYES DONNELLY (NPI# 1487137592) 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) 1487137592
Entity Type Individual
Full Name PATRICK KEYES DONNELLY
Credential PEER SPECIALIST
Practice Address 401 Fourth St
Fossil
OR 97830-8302
Practice Telephone 5412566300
Enumeration Date 2018-09-13
Last Update Date 2018-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist OR Other Service Providers

Other Providers PATRICK DONNELLY

NPI Name Taxonomy Address Enumeration
1760792535 Patrick Webb Donnelly Pharmacist 3420 North Scottsdale Road, Scottsdale, AZ 85251 2010-10-14
1144302696 Patrick Francis Donnelly Prosthetic/Orthotic Supplier 85 Barnes Rd Ste 302, Wallingford, CT 06492-1832 2006-10-20
1588610463 Patrick M Donnelly Specialist/Technologist 1 Folmer Drive, Cortland, NY 13045 2006-05-25
1720508625 Patrick Eamon Donnelly Chiropractor 5001 Peachtree Blvd, Ste 625, Chamblee, GA 30341-2820 2017-06-21
1770994253 Patrick Donnelly Physician Assistant 881 Uss James Madison Rd, Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547-2531 2014-05-18
1255591178 Patrick G Donnelly Nurse Anesthetist, Certified Registered 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 2008-06-13
1104000819 Patrick F Donnelly Dentist 105 Union Ave, Brielle, NJ 08730-1813 2007-12-18
1083786040 Patrick Michael Donnelly Nurse Practitioner 9709 Bruton Rd, Dallas, TX 75217-2704 2006-11-14

Office Location

Street Address 401 FOURTH ST
City FOSSIL
State OR
Zip Code 97830-8302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760040398 Nicole Eoute Counselor 401 Fourth St, Fossil, OR 97830-8302 2019-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003920125 Paul C. Smith Social Worker 401 Fourth Street, Fossil, OR 97830 2006-08-18
1780797357 Maryhelen I Peterson Counselor 401 4th Street, Fossil, OR 97830 2006-08-16
1376583948 Janet Leee Ridgley Nurse Practitioner 712 Jay St, Fossil, OR 97830 2006-06-08
1669816898 Amanda Ann Roy Physician Assistant 712 Jay Street, Fossil, OR 97830 2013-04-18
1326303900 Cathy Lee Goldsmith Counselor 401 4th Street, Fossil, OR 97830 2012-07-10
1326219171 City of Fossil Ambulance 401 Main Street, Fossil, OR 97830 2008-03-20
1801081088 Michelle Reaan Martin Registered Nurse 712 Jay Street, Fossil, OR 97830 2007-09-11
1760556435 Deborah Warren Malone Nurse Practitioner 712 Jay St, Asher Community Health Center, Fossil, OR 97830 2006-11-17
1841383825 Daniel Rex Allen Physician Assistant 712 Jay Street, Fossil, OR 97830-0307 2006-10-02
1811937485 Asher Community Health Center Public Health or Welfare 712 Jay St., Fossil, OR 97830-0307 2006-06-08
Find all providers in zip 97830

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1578162145 Kenneth Branson Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-10-23
1962000554 Dawn Marks Peer Specialist 21440 Se Stark St, Gresham, OR 97030-2024 2020-10-15
1679188080 Michelle Marie Bunkers Peer Specialist 20517 Jacklight Ln, Bend, OR 97702-2971 2020-09-11
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1528677820 Charice Monette Peer Specialist 4151 Kacey Cir Ne, Salem, OR 97305-4504 2020-07-23
1841810322 Ariana Lee May Peer Specialist 1601 Olive St Apt 1008, Eugene, OR 97401-3985 2020-04-24
1982237236 Jessica M Montoya Peer Specialist 235 Se Knowledge St, Prineville, OR 97754-2362 2020-02-14
1134752579 Lisa Kennedy Peer Specialist 132 Ne B St # 24, Grants Pass, OR 97526-2114 2020-02-13
1730711953 Michael Anthony Duran Peer Specialist 1515 Hill St Se, Albany, OR 97322-6715 2020-02-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City FOSSIL
Zip Code 97830

Improve Information

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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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