DR. EVAN ALEXANDER O'DONNELL


Address: 55 Fruit Street, Yaw3-3561, Boston, MA 02114
Phone: 6176432401

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
59 W 76th St Apt 6e, New York, NY 100231515 2126061000

Office Location

Street Address 55 FRUIT STREET, YAW3-3561
City BOSTON
State MA
Zip Code 02114

Providers in the same zip code

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 Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

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

Providers in the same taxonomy and city

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
Find all providers in BOSTON

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City BOSTON
Zip Code 02114

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Dataset Information

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.

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