ERICA L. O'DONNELL DOPA (NPI# 1144333105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144333105 |
| Entity Type | Organization |
| Organization Name | ERICA L. O'DONNELL DOPA |
| Practice Address |
1400 Hand Ave Suite K Ormond Beach FL 32174-8194 |
| Practice Telephone | 3866730517 |
| Practice Fax Number | 3866716458 |
| Mailing Telephone | 3866730517 |
| Mailing Fax Number | 3866716458 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERICA LYNNE O'DONNELL (PRESIDENT) |
| Authorized Official Telephone | 3866730517 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
OS7905 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TRICARE RAILROAD | 80184473 | 01 |
| FL | BLUE CROSS | 01768 | 01 |
| FL | AETNA | 7512263 | 01 |
| Street Address |
1400 HAND AVE SUITE K |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291495 | Craig Allan Miller | Family Medicine | 1400 Hand Ave, Suite K, Ormond Beach, FL 32174-8194 | 2005-11-10 |
| 1811244544 | Ekaette D Isemin | Pharmacist | 1400 Hand Ave, Suite O, Ormond Beach, FL 32174-8194 | 2012-08-13 |
| 1073897062 | Bliss Sleep & Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 1400 Hand Ave, Suite F, Ormond Beach, FL 32174-8194 | 2011-10-08 |
| 1043542947 | Home Stewards Health Services LLC | Home Health | 1400 Hand Ave, Suite P, Ormond Beach, FL 32174-8194 | 2010-02-03 |
| 1902048044 | Megan Barnes | Hearing Instrument Specialist | 1400 Hand Ave, Ste M, Ormond Beach, FL 32174-8194 | 2009-04-06 |
| 1518146521 | Lori Diego | Massage Therapist | 1400 Hand Ave, Unit F, Ormond Beach, FL 32174-8194 | 2007-10-25 |
| 1922165471 | Lombardo Chiropractic Clinic Pa | Chiropractor | 1400 Hand Ave, Ormond Beach, FL 32174-8194 | 2007-01-03 |
| 1417014192 | Linda Sue Lombardo | Chiropractor | 1400 Hand Ave, Suite S, Ormond Beach, FL 32174-8194 | 2007-01-02 |
| 1467519371 | Rebecca Ann Bruno | Chiropractor | 1400 Hand Ave, Ormond Beach, FL 32174-8194 | 2007-01-02 |
| 1679630354 | Lorra Nuzum | Chiropractor | 1400 Hand Ave, Suite S, Ormond Beach, FL 32174-8194 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932408648 | Liliam Hernandez Md Pa | Family Medicine | 15380 Sw 57th Ter, Miami, FL 33193-2515 | 2011-03-21 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1720117690 | Parmanand Vijay Poonai | Family Medicine | 103 Sunset Cir, Port St Joe, FL 32456-2115 | 2007-03-05 |
| 1114032109 | Carl F Dennison | Family Medicine | 3035 E Commercial Blvd, Ft Lauderdale, FL 33308-4347 | 2006-08-20 |
| 1508970989 | Rita Garulli Chidiac | Family Medicine | 2100 Ne 36th St, Suite 101, Lighthouse Point, FL 33064-7574 | 2006-08-19 |
| 1871524181 | Deborah Anne Weyer | Family Medicine | 1658 St Vincent's Way, Suite 320, Middleburg, FL 32068-8459 | 2006-07-05 |
| 1164472627 | Harold Silberman | Family Medicine | 370 Minorca Ave, 2nd Floor, Primecare of Coral Gables, Coral Gables, FL 33134 | 2006-05-12 |
| 1144212135 | Orlon Vere Carr IIi | Family Medicine | 210 Jupiter Lakes Blvd Ste 5103, Jupiter, FL 33458-7192 | 2005-08-17 |
| 1063028850 | Carline Grand-pierre | Family Medicine | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2020-09-17 |
| 1912462771 | Parabrahma Pa | Family Medicine | 6100 Greenland Rd Ste 301, Jacksonville, FL 32258-2626 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on ERICA L. O'DONNELL DOPA.
| 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.