ROBERT JOSEPH O'DONNELL (NPI# 1750781233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750781233 |
| Entity Type | Individual |
| Full Name | ROBERT JOSEPH O'DONNELL |
| Other Name | BOB O'DONNELL |
| Credential | CASAC-T |
| Practice Address |
11 Route 111 Smithtown NY 11787-3753 |
| Mailing Address |
Po Box 207 Lake Grove NY 11755-0207 |
| Practice Telephone | 6319208306 |
| Mailing Telephone | 9175339350 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316005077 | Robert James O'donnell | Dentist | 134 N Main St, Alpharetta, GA 30004-1623 | 2006-12-05 |
| 1821563115 | Robert Louis O'donnell Jr. | Dentist | 1550 W Sidney Rd, Sidney, MI 48885-9748 | 2018-10-12 |
| 1962917120 | Robert James O'donnell Jr. | Nurse Practitioner | 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 | 2017-12-11 |
| 1285871731 | Robert F. O'donnell | Anesthesiology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2009-01-20 |
| 1447478201 | Robert Richard O'donnell Jr. | Chiropractor | 1701 W Wise Rd, Schaumburg, IL 60193-3553 | 2007-04-24 |
| 1629090006 | Robert Edward O'donnell Jr. | Internal Medicine | 222 Piedmont Ave, Cincinnati, OH 45219-4231 | 2006-07-24 |
| 1558386615 | Robert H. O'donnell | Anesthesiology | 3626 Ruffin Rd, San Diego, CA 92123-1810 | 2006-07-12 |
| 1588693998 | Robert J O'donnell | Specialist | 632 Western Ave, Albany, NY 12203-1830 | 2006-06-30 |
| 1801836895 | Robert H O'donnell | Obstetrics & Gynecology | 1 Bay Ave, Montclair, NJ 07042-4837 | 2006-06-07 |
| 1386627586 | Robert T O'donnell | Internal Medicine | 2279 45th Street, Sacramento, CA 95817-2229 | 2005-11-22 |
| Street Address |
11 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200011 | Tara Marie Brunswick | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2006-08-09 |
| 1528667565 | Aleah Sophia Innis | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-21 |
| 1174120018 | Andrea Lynn Crisci | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-10-05 |
| 1811504491 | Katie Hodgson | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-09-28 |
| 1659981470 | Kelly Sass | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-08-06 |
| 1588298731 | New Horizons | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-26 |
| 1972135481 | April Marie Lee | Registered Nurse | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-12 |
| 1538791702 | Talia Renee Hughes | Student in an Organized Health Care Education/Training Program | 11 Route 111, Smithtown, NY 11787-3754 | 2020-02-06 |
| 1861032260 | Maryclare Anderson | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
| 1770123184 | Guillermo F Sandoval | Social Worker | 11 Route 111, Smithtown, NY 11787-3754 | 2020-01-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782156 | Sindhu Gollapalli | Student in an Organized Health Care Education/Training Program | 58 Landing Meadow Rd, Smithtown, NY 11787-1158 | 2020-05-19 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1871140046 | Lora Danielle Ottaviano | Student in an Organized Health Care Education/Training Program | 72 Croft Ln, Smithtown, NY 11787-4112 | 2019-08-22 |
| 1417457763 | Krystyna Swiecicki | Student in an Organized Health Care Education/Training Program | 11 Route 111 Ste 1, Smithtown, NY 11787-3754 | 2018-02-13 |
| 1477075349 | Michelle Solomos | Student in an Organized Health Care Education/Training Program | 24 Cambridge Dr, Smithtown, NY 11787-4833 | 2017-07-12 |
| 1346795028 | Sally Kim Houghton | Student in an Organized Health Care Education/Training Program | 9 West Ave, Smithtown, NY 11787-3825 | 2016-08-23 |
| 1679026025 | Amanda Dawn Albanese | Student in an Organized Health Care Education/Training Program | 9 Thrush Dr, Smithtown, NY 11787-3320 | 2016-08-02 |
| 1104279884 | James Ciancarelli | Student in an Organized Health Care Education/Training Program | 5 The Spout, Smithtown, NY 11787 | 2016-07-19 |
| 1538553979 | Christopher Chandler | Student in an Organized Health Care Education/Training Program | 27 Asbury Dr, Smithtown, NY 11787-3126 | 2015-03-24 |
| 1093116436 | Mariama Toffa | Student in an Organized Health Care Education/Training Program | 11 Route 111 # A, Smithtown, NY 11787-3753 | 2014-09-04 |
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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.