JONELLE K MCDONNELL (NPI# 1003844937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003844937 |
| Entity Type | Individual |
| Full Name | JONELLE K MCDONNELL |
| Credential | MD |
| Practice Address |
25097 Olympia Ave Suite 204 Punta Gorda FL 33950-3903 |
| Practice Telephone | 9412053376 |
| Practice Fax Number | 9412053379 |
| Mailing Telephone | 9412053376 |
| Mailing Fax Number | 9412053379 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME104122 | FL | Other Service Providers |
| N | 207N00000X | Dermatology | 35058227M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA PROVIDER NUMBER | 8188371 | 01 |
| FL | MEDICAL LICENSE FLORIDA | ME104122 | 01 |
| OH | 2290202 | 05 | |
| FL | MEDICARE GROUP NUMBER | K6441 | 01 |
| FL | GROUP NPI | 1376576454 | 01 |
| FL | BCBS GROUP PROVIDER NUMBER | 00A58 | 01 |
| FL | BCBS PERSONAL PROVIDER NUMBER | 145A6 | 01 |
| Street Address |
25097 OLYMPIA AVE SUITE 204 |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33950-3903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013978964 | Nora Ann Davis | Nurse Practitioner | 25097 Olympia Ave, Suite 202, Punta Gorda, FL 33950-3912 | 2006-03-30 |
| 1609310176 | Rubin Family Medicine | Family Medicine | 25097 Olympia Ave, 203, Punta Gorda, FL 33950-3912 | 2016-12-18 |
| 1316254204 | Us Pet Imaging LLC | Radiology | 25097 Olympia Ave, Suite 104, Punta Gorda, FL 33950-3903 | 2010-09-13 |
| 1609189042 | Mcdonnell Dermatology LLC | Dermatology | 25097 Olympia Ave, Ste 204, Punta Gorda, FL 33950-3903 | 2010-07-14 |
| 1699944801 | Us Pet Imaging LLC | Radiology | 25097 Olympia Ave, Suite 104, Punta Gorda, FL 33950-3903 | 2008-02-22 |
| 1285736611 | Robert A Henning | Physician Assistant | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-09-05 |
| 1780697706 | Ricardo R Martinez | Specialist | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-08-14 |
| 1114978343 | Lawrence R Bachle | Emergency Medicine | 25097 Olympia Ave, Suite 107, Punta Gorda, FL 33950-3903 | 2006-05-12 |
| 1811947302 | Larry R Bachle Do Facoep Pa | Emergency Medicine | 25097 Olympia Ave, Suite 107, Punta Gorda, FL 33950-3903 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291979 | Kristin Wilson | Nurse Practitioner | 350 E Olympia Ave, Suite 111, Punta Gorda, FL 33950 | 2019-02-18 |
| 1750856993 | Medical Risk Solutions | Family Medicine | 514 East Grace Street, Punta Gorda, FL 33950 | 2018-10-03 |
| 1457858607 | Janet Miller Dawson | Nurse Practitioner | Charlotte Behavioral Health Care, 1700 Education Avenue, Punta Gorda, FL 33950 | 2018-04-12 |
| 1730689290 | Suncoast Neuropsychiatric Wellness Center LLC | Psychiatry & Neurology | 25097 E Olympia Ave, #200, Punta Gorda, FL 33950 | 2018-02-20 |
| 1306351424 | Laura Cara Carlisle | Developmental Therapist | 2440 W Marion Ave, Punta Gorda, FL 33950 | 2017-12-12 |
| 1629591722 | Rachel Guyton Irias | Behavior Technician | 321 W Grace St, Punta Gorda, FL 33950 | 2017-07-20 |
| 1730636713 | William Bartley Hoke | Specialist/Technologist | 733 E.oympia Ave, Punta Gorda, FL 33950 | 2016-09-07 |
| 1861868770 | Jason Burns | Physical Therapist | 3857 Acline Rd Unit 107, Punta Gorda, FL 33950 | 2015-08-14 |
| 1073935409 | Heather Lynn Darmetko | Nurse Practitioner | 713 E. Marion Ave. 1211 Suite 1211, Punta Gorda, FL 33950 | 2014-01-21 |
| 1568706380 | Steven Michael Byrne | Nurse Practitioner | 2310 Tamiami Trail, Suite 2101, Punta Gorda, FL 33950 | 2012-11-16 |
| Find all providers in zip 33950 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225561525 | Lorraine Ross | Specialist | 7529 Coco Plum, Punta Gorda, FL 33955-1051 | 2017-04-04 |
| 1639424336 | David J.(only) Kinzer | Specialist | 110 Gulview Rd., Punta Gorda, FL 33950 | 2012-07-18 |
| 1689989113 | Julie Ann Price | Specialist | 231 Goldstein St, Punta Gorda, FL 33950-4408 | 2010-08-09 |
| 1295915486 | Grace Elizabeth Campbell | Specialist | 421 Pompano Ter, Punta Gorda, FL 33950-2841 | 2007-11-06 |
| 1780767509 | Dora O Chizea | Specialist | 2310 Tamiami Trl Unit 2101, Punta Gorda, FL 33950-5934 | 2006-10-23 |
| 1821104613 | Raul E. Carballosa and Associatesmdspa | Specialist | 310 Dupont St, Punta Gorda, FL 33950-3810 | 2006-08-22 |
| 1154368884 | Stephen A Spencer Md.,pa | Specialist | 1111 Tamiami Trl, Punta Gorda, FL 33950-5526 | 2006-06-01 |
| 1952647158 | Karen Goff Ford | Specialist | 252 W Marion Ave, Suite 1124, Punta Gorda, FL 33950-4442 | 2012-12-17 |
| 1780697706 | Ricardo R Martinez | Specialist | 25097 Olympia Ave, Punta Gorda, FL 33950-3903 | 2006-08-14 |
| 1497737654 | Peace River Anesthesiology Associates Pa | Specialist | 809 E Marion Ave, Charlotte Regional Medical Center, Punta Gorda, FL 33950-3819 | 2005-11-15 |
| Find all providers in PUNTA GORDA | ||||
| City | PUNTA GORDA |
| Zip Code | 33950 |
Please comment or provide details below to improve the information on JONELLE K MCDONNELL.
| 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.