DR. MARK W. DONNELLY (NPI# 1700820784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700820784 |
| Entity Type | Individual |
| Full Name | DR. MARK W. DONNELLY |
| Credential | M.D. |
| Practice Address |
525 N Santiam Hwy Lebanon OR 97355-4363 |
| Practice Telephone | 5414517115 |
| Practice Fax Number | 5414517095 |
| Mailing Telephone | 5414517115 |
| Mailing Fax Number | 5414517095 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD23406 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802192 | Mark E Donnelly | Specialist | 1215 N Beaver St, Ste 202, Flagstaff, AZ 86001-3126 | 2005-06-22 |
| 1689155301 | Mark C Donnelly | Pharmacist | 2981 Ford Street Ext, Ogdensburg, NY 13669-3474 | 2018-08-22 |
| 1013394576 | Mark C. Donnelly | Family Medicine | 888 S Rancho Dr, Las Vegas, NV 89106 | 2015-05-04 |
| 1902133978 | Mark Donnelly | Acupuncturist | 177 Conklin St, Farmingdale, NY 11735-2501 | 2009-11-11 |
| Street Address |
525 N SANTIAM HWY |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
| 1851908909 | Christopher Edward Pokladnik | Pharmacist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2020-09-23 |
| 1225668437 | Rachel Ellen Tyler | Registered Nurse | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2020-01-16 |
| 1487296968 | Kayleigh Mang | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-10-16 |
| 1063076537 | Cheryl Teschner | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-04-30 |
| 1215591011 | Sarah J Madison | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-04-26 |
| 1831655976 | Susan Giglio | Physical Therapist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2019-02-13 |
| 1801364732 | Katelyn Newkirk | Dietitian, Registered | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2018-11-08 |
| 1841708104 | Alexa Leigh Jones | Speech-Language Pathologist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2018-01-19 |
| 1639688500 | Chelan Murasaki | Physical Therapist | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2017-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316479496 | Sormeh Harounzadeh | Emergency Medicine | 65 On The Grn, Lebanon, PA 17042-9473 | 2017-03-29 |
| 1518252964 | Medexpress Urgent Care, PC - Pennyslvania | Emergency Medicine | 1010 W Crestview Dr, Lebanon, PA 17042-7415 | 2011-06-14 |
| 1891929527 | James Michael Mcweeney | Emergency Medicine | 520 Mcclure Rd, Lebanon, OH 45036-9317 | 2009-05-09 |
| 1588762611 | Karl C Lewis | Emergency Medicine | 58 Carroll and Tate Streets, Call Box 3600, Lebanon, VA 24266 | 2006-09-20 |
| 1326141672 | Norman Rexrode Jr. | Emergency Medicine | 3600 Tate and Carroll Streets, Lebanon, VA 24266 | 2006-09-05 |
| 1316051683 | Scott P Giles | Emergency Medicine | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2006-08-17 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 1265468169 | Russell Hal Mcune | Emergency Medicine | 35632 Brewster Rd, Lebanon, OR 97355-9452 | 2006-06-23 |
| 1639140585 | Karen L Oldham | Emergency Medicine | 2395 Cedar Grove Rd, Lebanon, TN 37087-7991 | 2006-01-30 |
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
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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.