DR. JOSEPH J O'DONNELL (NPI# 1508851361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851361 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH J O'DONNELL |
| Credential | M.D. |
| Practice Address |
4150 Nelson Rd Building G, Suite 3 Lake Charles LA 70605-4148 |
| Practice Telephone | 3375623732 |
| Practice Fax Number | 3375623699 |
| Mailing Telephone | 3375623732 |
| Mailing Fax Number | 3375623699 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 08602R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AETNA | 4601931 | 01 |
| LA | 1910830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891837514 | Joseph Neil O'donnell | Clinical Neuropsychologist | 1443 W. Schaumburg Road, 22e, Schaumburg, IL 60194 | 2007-02-12 |
| 1982965364 | Joseph A O'donnell | Nurse Practitioner | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2012-06-01 |
| 1245311059 | Joseph R. O'donnell | Neurological Surgery | 414 Plymouth Ave Ne, Grand Rapids, MI 49505-6038 | 2006-10-18 |
| 1023102050 | Joseph P O'donnell | Dentist | 955 Main St, Winchester, MA 01890-1961 | 2006-10-03 |
| Street Address |
4150 NELSON RD BUILDING G, SUITE 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1154977197 | Eugene M Fontenot Md LLC | Obstetrics & Gynecology | 4150 Nelson Rd, Building A Suite 1, Lake Charles, LA 70605 | 2019-08-15 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346417763 | Darin Doumite | Surgery | 2770 3rd Avenue, Suite 120, Lake Charles, LA 70601 | 2008-05-14 |
| 1285817585 | General Vascular Thoracic Surgery,l.l.c. | Surgery | 641 S. Ryan, Lake Charles, LA 70601 | 2007-12-10 |
| 1720158066 | Chi Fei Chung | Surgery | 4150 Nelson Rd Ste B6, Lake Charles, LA 70605-4169 | 2006-11-08 |
| 1700996659 | William C Moss | Surgery | 4150 Nelson Rd Ste G, Lake Charles, LA 70605-4133 | 2006-08-30 |
| 1255349270 | John Lucas Cocchiara | Surgery | 1739 Ryan St, Lake Charles, LA 70601-6049 | 2006-08-04 |
| 1508832924 | Richard Thomas Shimer | Surgery | 2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 | 2006-02-25 |
| 1124006978 | Thomas Howard Mccalla | Surgery | 816 W Bayou Pines Dr, Lake Charles, LA 70601-7077 | 2006-01-03 |
| 1528459260 | Louisiana Surgeons of Excellence, LLC | Surgery | 215 W Prien Lake Rd, Suite A, Lake Charles, LA 70601-8450 | 2015-02-17 |
| 1174889794 | Justin William Rudd | Surgery | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 | 2012-04-09 |
| 1154616936 | Matias Javier Nauts | Surgery | 401 Dr Michael Debakey Dr, Suite 100 C&d, Lake Charles, LA 70601-5864 | 2011-06-09 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.