DR. BRIAN WILLIAM O'DONNELL (NPI# 1770106593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770106593 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WILLIAM O'DONNELL |
| Credential | DO |
| Practice Address |
10800 Knights Rd Philadelphia PA 19114-4200 |
| Practice Telephone | 2156125161 |
| Mailing Telephone | 2156125161 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| 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 | OT019914 | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285656413 | Brian Patrick O'donnell | Dermatology | 407 Us Route 1, Freeport, ME 04032-7023 | 2006-07-24 |
| 1790740900 | Brian D O'donnell | Physician Assistant | 2 Embarcadero Ctr Lbby Level, San Francisco, CA 94111-3823 | 2006-04-19 |
| 1265414619 | Brian P O'donnell | Pediatrics | 500 Centre Park Dr, Asheville, NC 28805-1262 | 2005-11-18 |
| 1558366187 | Brian Francis O'donnell | Internal Medicine | 736 Battlefield Blvd N, Chesapeake, VA 23320-4941 | 2005-06-20 |
| Street Address |
10800 KNIGHTS RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073508453 | John K Moran | Radiology | 10800 Knights Rd, Attn: Radiology, Philadelphia, PA 19114-4200 | 2005-09-13 |
| 1841898327 | Clayton Tyan Chiem | Nurse Anesthetist, Certified Registered | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-10-15 |
| 1932707130 | Melissa Yoon | Physician Assistant | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-10-12 |
| 1013534643 | Tyler Barrett Drury | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-30 |
| 1932726809 | Marina Romany Tony | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-26 |
| 1336766211 | Victoria Trovillion | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-26 |
| 1932725165 | Kissa Walker | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-23 |
| 1851917371 | Elana Roadcloud | Internal Medicine | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-20 |
| 1316563901 | Elizabeth Rose Chambers | Nurse Anesthetist, Certified Registered | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-19 |
| 1194341008 | Penelope Kagan | Student in an Organized Health Care Education/Training Program | 10800 Knights Rd, Philadelphia, PA 19114-4200 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| 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 |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1477166056 | Tiffany Shanay Canady | Student in an Organized Health Care Education/Training Program | 8400 Lindbergh Blvd Apt 1011, Philadelphia, PA 19153-1513 | 2020-08-25 |
| 1093325599 | Taylor Ann Hall | Student in an Organized Health Care Education/Training Program | 403 E Evergreen Ave, Philadelphia, PA 19118-2826 | 2020-08-09 |
| 1093324766 | Alex J Rodriguez | Student in an Organized Health Care Education/Training Program | 7950 Henry Ave Apt 9a, Philadelphia, PA 19128-3005 | 2020-07-28 |
| 1396361796 | Hagar Mahmoud | Student in an Organized Health Care Education/Training Program | 9181 Academy Rd Apt 407, Philadelphia, PA 19114-2724 | 2020-06-22 |
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1386266138 | Ogan Kumova | Student in an Organized Health Care Education/Training Program | 245 N 15th St Rm 18119, Philadelphia, PA 19102-1101 | 2020-05-15 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on DR. BRIAN WILLIAM 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.