DR. TIMOTHY B O'DONNELL (NPI# 1144485764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144485764 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY B O'DONNELL |
| Credential | MD |
| Practice Address |
5980 State Road 38 East Dayton IN 47941 |
| Mailing Address |
1281 Win Hentschel Blvd West Lafayette IN 47906-4182 |
| Practice Telephone | 7655885667 |
| Practice Fax Number | 7654498408 |
| Mailing Telephone | 7652041122 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11014237A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 482 W Navajo St Ste A, West Lafayette, IN 479061940 | 7652041122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568091304 | Timothy O'donnell | Specialist/Technologist | 301 2nd Ave, Haddon Heights, NJ 08035-1407 | 2020-04-03 |
| 1477637361 | Timothy O'donnell | Family Medicine | 1901 Hillandale Rd Ste B, Durham, NC 27705-2664 | 2006-10-25 |
| 1770502809 | Timothy O'donnell | Internal Medicine | Suite 32 Peoples Plaza, Newark, DE 19702 | 2006-07-19 |
| 1760485510 | Timothy Patrick O'donnell | Surgery | 3600 Kolbe Rd Ste 205, Lorain, OH 44053 | 2005-05-24 |
| 1639197734 | Timothy Dennis O'donnell | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-07-17 |
| 1871528919 | Timothy F. O'donnell | Physician Assistant | 515 Fairmount Ave Ste 500, Towson, MD 21286-5466 | 2006-07-11 |
| 1679513758 | Timothy R. O'donnell | Family Medicine | 51 E Stewart St, Dayton, OH 45409-2624 | 2006-06-07 |
| 1841239050 | Timothy O'donnell | Internal Medicine | 63 Beaverbrook Rd Ste 301, Lincoln Park, NJ 07035-1440 | 2006-06-05 |
| Street Address |
5980 STATE ROAD 38 EAST |
| City | DAYTON |
| State | IN |
| Zip Code | 47941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033521752 | Healthworks Med Group of Indiana P C | Clinic/Center | 5980 State Road 38 East, Dayton, IN 47941-0000 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306296322 | Aubree Lynne Reich | Nurse Practitioner | 5980 State Rd. 38 E, Dayton, IN 47941-0000 | 2016-06-21 |
| 1740606383 | Emilie Nicole Miley | Specialist/Technologist | 753 Ohio St, Dayton, IN 47941-8023 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1508467135 | Nancy Fratini | Homemaker | 5316 Split Rail, Dayton, OH 45429-1963 | 2020-11-02 |
| 1437759016 | Laura K Baggette | Music Therapist | 1364 Black Forest Dr Apt 70, Dayton, OH 45449-3800 | 2020-10-31 |
| 1679173355 | Anna Guajardo | Homemaker | 420 Grove Ave, Dayton, OH 45404-1912 | 2020-10-30 |
| 1992305700 | Jason Patrick Scoles | Military Health Care Provider | 5607 Hickam Dr, Dayton, OH 45431-1544 | 2020-10-30 |
| 1174123806 | Gary Lovings | Technician | 1553 Roamont Dr, Dayton, OH 45459-3361 | 2020-10-30 |
| 1245830074 | Progressivehealth Healthspot | Clinic/Center | 500 Walnut Grove Rd, Dayton, TN 37321-5941 | 2020-10-30 |
| 1588264204 | Jennifer Ann Scholl | Contractor | 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 | 2020-10-30 |
| Find all providers in DAYTON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
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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.