Brendan M O'donnell (NPI# 1750611190, PAC ID# 4082849450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1750611190 |
| PAC ID by PECOS | 4082849450 |
| Professional Enrollment ID | I20131022000049 |
| Full Name | Brendan M O'donnell |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER |
| Address |
2212 Genesee St Utica NY 13502-5809 |
| Phone Number | 3157988317 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 8628980844 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2212 Genesee St, Utica, NY 13502-5809 | 3157988317 | ST ELIZABETH MEDICAL CENTER |
| Organization Legal Name | ST ELIZABETH MEDICAL CENTER |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eberechukwu J Azumah | Obstetrics/gynecology | St Elizabeth Medical Center | 2212 Genesee St, Utica, NY 13502-5809 |
| Eun Jung Suh | Nurse Practitioner | St Elizabeth Medical Center | 6 Hampden Pl, Utica, NY 13502-5631 |
| Molly E Schug | Family Medicine | St Elizabeth Medical Center | 1256 Culver Ave, Utica, NY 13501-4253 |
| William F Lindsey | General Surgery | St Elizabeth Medical Center | 4401 Middlesettlement Rd, New Hartford, NY 13413-5331 |
| Julie Betro Shkane | Family Medicine | St Elizabeth Medical Center | 120 Hobart St, Utica, NY 13501-4308 |
| Thomas J Socash | Family Medicine | St Elizabeth Medical Center | 114 S Shore Rd, Old Forge, NY 13420-0207 |
| Thet T Mar | Nurse Practitioner | St Elizabeth Medical Center | 120 Hobart St, Utica, NY 13501-4308 |
| Barbara Jean Drake | Nurse Practitioner | St Elizabeth Medical Center | 2209 Genesee St, Utica, NY 13501-5930 |
| Laszlo Fuzesi | Cardiac Surgery | St Elizabeth Medical Center | 2209 Genesee St, Utica, NY 13501-5930 |
| Jessica L Leigh | Physician Assistant | St Elizabeth Medical Center | 2209 Genesee St, Utica, NY 13501-5930 |
| Street Address |
2212 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip | 13502-5809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eberechukwu J Azumah | Obstetrics/gynecology | St Elizabeth Medical Center | 2212 Genesee St, Utica, NY 13502-5809 |
| Alsia Marie Kabari | Obstetrics/gynecology | St Elizabeth Medical Center | 2212 Genesee St, Utica, NY 13502-5809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry F Lutz | Optometry | 710 Horatio St, Suite 700, Utica, NY 13502-1461 | |
| Edward J Casper Jr. | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1605 | |
| Tatyana Misyulya | Family Medicine | Faxton - St Lukes Healthcare | 417 Trenton Ave, Utica, NY 13502-1613 |
| Salvatore Capuana | Chiropractic | 441 Trenton Ave, Utica, NY 13502-1661 | |
| David M Abdoo | Physical Therapy | 430 Coventry Ave, Utica, NY 13502-1764 | |
| Rachel Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Jonathan D Colino | Nurse Practitioner | Extend Care Family Health Np Pllc | 101 Herkimer Rd, Utica, NY 13502-2311 |
| Nalini J Namassivaya | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Komgrit Chukiert | Pulmonary Disease | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Thomas E Gwilt | Nurse Practitioner | Faxton - St Lukes Healthcare | 35 Riverside Dr, Utica, NY 13502-2320 |
| Find all physicians in zip 13502 | |||
| City | UTICA |
| Zip Code | 13502 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | UTICA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Brendan M O'donnell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.