DR. EVAN ALEXANDER O'DONNELL (NPI# 1851710487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851710487 |
Entity Type | Individual |
Full Name | DR. EVAN ALEXANDER O'DONNELL |
Practice Address |
55 Fruit Street, Yaw3-3561 Boston MA 02114 |
Practice Telephone | 6176432401 |
Mailing Telephone | 6176432401 |
Enumeration Date | 2014-04-10 |
Last Update Date | 2019-02-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
281410 | NY | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
59 W 76th St Apt 6e, New York, NY 100231515 | 2126061000 |
Street Address |
55 FRUIT STREET, YAW3-3561 |
City | BOSTON |
State | MA |
Zip Code | 02114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
Find all providers in zip 02114 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1154805281 | Jonathan Vandale | Orthopaedic Surgery | 60 Fenwood Rd Fl 2, Boston, MA 02115-6128 | 2018-09-25 |
1588869168 | Matthew J Salzler | Orthopaedic Surgery | 800 Washington St # 306, Boston, MA 02111-1552 | 2007-06-15 |
1144608381 | Aditi Majumdar | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-05-08 |
1326200858 | Melissa A Christino | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115 | 2008-06-26 |
1619141496 | Thomas Hartmann Wuerz | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2008-04-14 |
1184808131 | Matthew David Milewski | Orthopaedic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2007-12-27 |
1598864449 | Richard Michael Wilk | Orthopaedic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2006-09-21 |
1235243130 | Arun J Ramappa | Orthopaedic Surgery | 330 Brookline Ave, Shapiro 2, Boston, MA 02215-5400 | 2006-08-18 |
1740216811 | Children's Sports Medicine Foundation Inc. | Orthopaedic Surgery | 319 Longwood Ave, Boston, MA 02115-5728 | 2006-06-23 |
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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.