PAT D O'DONNELL (NPI# 1720074826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720074826 |
| Entity Type | Individual |
| Full Name | PAT D O'DONNELL |
| Credential | M.D. |
| Practice Address |
4301 W Markham St # 540 Little Rock AR 72205-7101 |
| Practice Telephone | 5016868000 |
| Mailing Telephone | 5016868000 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C-4788 | AR | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 036112655 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036112655 | 05 | |
| AR | 105046001 | 05 |
| Street Address |
4301 W MARKHAM ST # 540 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122507 | Thomas Lee Soehner | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2020-04-04 |
| 1235768193 | Michael David Perttunen | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2020-04-03 |
| 1588210124 | Mahmoud Ibrahim Mahmoud Khalil | Urology | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2019-08-09 |
| 1790247542 | Nickolas David Scherzer | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2019-04-02 |
| 1891257556 | Joel Sebastian Ubeda | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2019-04-02 |
| 1457858508 | Nathan Green | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259406 | Bruno Lopes Cancado Machado | Urology | 4301 W Markham St Ste 540, Little Rock, AR 72205-7101 | 2017-07-29 |
| 1255412755 | Donald Edward Johnson | Urology | 4301 West Seventh St, Little Rock, AR 72205 | 2006-10-18 |
| 1891718060 | Ismael Zamilpa | Urology | 1 Childrens Way # 840, Little Rock, AR 72202-3500 | 2006-07-26 |
| 1881669562 | Lacy Parker Fraiser | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2006-02-17 |
| 1588210124 | Mahmoud Ibrahim Mahmoud Khalil | Urology | 4301 W Markham St # 540, Little Rock, AR 72205-7101 | 2019-08-09 |
| 1659844702 | Stephanie Bartlett | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2019-01-10 |
| 1669615225 | John Taylor Moore | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2009-04-13 |
| 1568669448 | Michael A Childs | Urology | 1300 Centerview Dr, Little Rock, AR 72211-4349 | 2007-07-02 |
| 1740496686 | Ashay Patel | Urology | 1 Childrens Way # 840, Little Rock, AR 72202-3500 | 2007-05-15 |
| 1841380417 | John Redman | Urology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on PAT D 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.