CORIANNE L O'DONNELL (NPI# 1548259211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548259211 |
| Entity Type | Individual |
| Full Name | CORIANNE L O'DONNELL |
| Credential | PA-C |
| Practice Address |
103 Skyline Rd Bangor ME 04401-2158 |
| Practice Telephone | 6105745628 |
| Mailing Telephone | 6105745628 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2011-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1959 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00336251 | 01 | |
| CONNECTICARE | 019590 | 01 |
| Street Address |
103 SKYLINE RD |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1497751812 | Nelson E Meaker | Physician Assistant | 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 | 2005-06-21 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1710521950 | Allison Rose Bassam Harb | Physician Assistant | 931 Union St, Bangor, ME 04401-3011 | 2019-10-31 |
| 1306323613 | Ameena Fauq | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-07-20 |
| 1588140347 | Brandy Eldridge | Physician Assistant | 55 Broadway, Bangor, ME 04401-5201 | 2018-07-16 |
| 1891289963 | Benjamin Schmidt | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2018-06-21 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| 1083164933 | Brandi Lyon | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-10-04 |
| Find all providers in BANGOR | ||||
Please comment or provide details below to improve the information on CORIANNE L O'DONNELL.
| 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.