MR. PETER O'DONNELL (NPI# 1023372117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023372117 |
| Entity Type | Individual |
| Full Name | MR. PETER O'DONNELL |
| Credential | NP |
| Practice Address |
180 Park Ave Portland ME 04102-2957 |
| Practice Telephone | 2078282402 |
| Practice Fax Number | 2078282425 |
| Mailing Telephone | 2078742141 |
| Mailing Fax Number | 2078742164 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2013-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 21443315 | ME | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | CNP121035 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982649943 | Peter B. O'donnell | Family Medicine | 60 Forest Falls Dr, Yarmouth, ME 04096-6971 | 2006-06-16 |
| 1508853995 | Peter Joseph O'donnell | Counselor | 615 Howard Ave, Ste 214, Altoona, PA 16601-4813 | 2005-09-30 |
| Street Address |
180 PARK AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354540 | Carrie Frost | Pediatrics | 180 Park Ave, Portland, ME 04102-2957 | 2005-05-23 |
| 1629619002 | Daniel Kevin O'brien | Nurse Practitioner | 180 Park Ave, Portland, ME 04102-2957 | 2019-10-07 |
| 1154830073 | Heidi Sistare | Counselor | 180 Park Ave, Portland, ME 04102-2957 | 2017-09-22 |
| 1861916926 | Malual M Mabur | Physician Assistant | 180 Park Ave, Portland, ME 04102-2957 | 2017-07-31 |
| 1275900102 | Lori Nicholas | Nurse Practitioner | 180 Park Ave, Portland, ME 04102-2957 | 2015-08-26 |
| 1801278270 | Joanna Kass | Registered Nurse | 180 Park Ave, Portland, ME 04102-2957 | 2015-06-22 |
| 1215325584 | Kira Maas Sawyer | Social Worker | 180 Park Ave, Portland, ME 04102-2957 | 2015-01-08 |
| 1467859801 | Devin Shaughnessy Tetler | Nurse Practitioner | 180 Park Ave, Portland, ME 04102-2957 | 2014-12-01 |
| 1164824207 | Jennifer L. Bouldry | Social Worker | 180 Park Ave, Portland, ME 04102-2957 | 2014-09-19 |
| 1477997146 | Megan R Waterman | Family Medicine | 180 Park Ave, Portland, ME 04102-2957 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
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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.