KATHERINE ODONNELL (NPI# 1316440019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316440019 |
| Entity Type | Individual |
| Full Name | KATHERINE ODONNELL |
| Credential | PA-C |
| Practice Address |
5780 Green Cir Willoughby OH 44094-3064 |
| Practice Telephone | 3303882304 |
| Mailing Telephone | 3303882304 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992960512 | Katherine Mary Odonnell | Massage Therapist | 450 Central Avenue, Columbia Professional Medical Building, Lancaster, NY 14086 | 2008-07-23 |
| Street Address |
5780 GREEN CIR |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573106 | Danielle Wisen | Physician Assistant | 35007 S Turtle Trl Apt B, Willoughby, OH 44094-4261 | 2020-06-18 |
| 1295224368 | Samantha Brown | Physician Assistant | 5105 Som Center Rd Ste 107, Willoughby, OH 44094-4203 | 2018-05-04 |
| 1700350923 | Amelia Ann Wilmot | Physician Assistant | 36060 Euclid Ave, Willoughby, OH 44094-4656 | 2019-01-22 |
| 1972078483 | Amanda Prince | Physician Assistant | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-10-11 |
| 1124547104 | Kelly Renee Tisch | Physician Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2017-09-11 |
| 1790108421 | Erik Kjell Johnson | Physician Assistant | 36000 Euclid Ave, Emergency Department, Willoughby, OH 44094-4625 | 2014-01-31 |
| 1366872905 | Jenna Marie Bradesca | Physician Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2013-11-18 |
| 1376970327 | Dian Nutter | Physician Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2013-10-06 |
| 1225464795 | Katelyn Elizabeth Skof | Physician Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2013-09-17 |
| 1497181044 | Julie Anna Lewis | Physician Assistant | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2013-09-15 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.