KELLY O'DONNELL (NPI# 1619997772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619997772 |
| Entity Type | Individual |
| Full Name | KELLY O'DONNELL |
| Credential | MD |
| Practice Address |
166 Defense Hwy Suite 101 Annapolis MD 21401-8919 |
| Mailing Address |
216 Old County Rd Severna Park MD 21146-4542 |
| Practice Telephone | 4106431999 |
| Practice Fax Number | 4102243370 |
| Mailing Telephone | 4106933161 |
| Mailing Fax Number | 4102243370 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD32654 | DC | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | D0042645 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | AETNA HMO | 2561122 | 01 |
| VA | ANTHEM BCBS | 441777 | 01 |
| DC | 027449600 | 05 | |
| DC | NCPPO | 566739 | 01 |
| DC | KAISER | 212103 | 01 |
| DC | CIGNA HMO | 3058246001 | 01 |
| DC | AETNA NON HMO | 7016224 | 01 |
| DC | CAREFIRST BCBS | 0113 | 01 |
| MD | 234501301 | 05 | |
| VA | VIRGINIA MEDICAID | 5711193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316251689 | Kelly N O'donnell | Speech-Language Pathologist | 5831 S. Rutherford Ave., Chicago, IL 60638 | 2010-07-29 |
| 1508495912 | Kelly O'donnell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-07 |
| 1114551397 | Kelly O'donnell | Licensed Practical Nurse | 1 Mount Mckinley Ave, Farmingville, NY 11738-2107 | 2020-02-27 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1689156143 | Kelly O'donnell | Social Worker | 25 Railroad Sq, Haverhill, MA 01832-5721 | 2018-08-31 |
| 1487101242 | Kelly O'donnell | Specialist/Technologist | 1441 Schoenersville Rd, Bethlehem, PA 18018-1864 | 2016-09-08 |
| 1215388822 | Kelly O'donnell | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2016-06-24 |
| 1174999635 | Kelly O'donnell | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2015-08-18 |
| 1831317759 | Kelly Kay O'donnell | Occupational Therapist | 1201 Park St, Bellevue, IA 52031-1911 | 2007-04-23 |
| Street Address |
166 DEFENSE HWY SUITE 101 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-8919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124073358 | Carl Daniel Laughlin | Specialist | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-7034 | 2006-05-24 |
| 1821449885 | Laughlin Plastic Surgery, LLC | Specialist | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-7034 | 2016-06-30 |
| 1588807861 | Mariam Ameri | Internal Medicine | 166 Defense Hwy, Suite 200, Annapolis, MD 21401-8919 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316222177 | Vein Health Center of Maryland | Phlebology | 12013 Broad Meadow Ln, Clarksville, MD 21029-1258 | 2011-10-12 |
| 1750462081 | Maryland and Virginia Phlebology PC | Phlebology | 10440 Little Patuxent Pkwy Ste 820, Columbia, MD 21044-3569 | 2006-10-17 |
| 1982162392 | Vein and Leg Clinic LLC | Phlebology | 11120 New Hampshire Ave Ste 300, Silver Spring, MD 20904-2680 | 2019-03-05 |
| 1154888048 | Bowie State University | Phlebology | 14000 Jericho Park Road, Henry Wise Wellness Center, Cmrc, Lower Level, Bowie, MD 20715 | 2019-02-27 |
| 1750693503 | Md Laser Medicine and Surgery Inc | Phlebology | 7120 Minstrel Way, Suite 103, Columbia, MD 21045-5248 | 2010-07-09 |
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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.