DR. MICHAEL K DONNELLY (NPI# 1477789105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477789105 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL K DONNELLY |
| Credential | D.O. |
| Practice Address |
205 Parker St Boscobel WI 53805-1642 |
| Mailing Address |
350 Hospital Way Suite 101 Somerset KY 42503-2872 |
| Practice Telephone | 6083754112 |
| Mailing Telephone | 6064515092 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 71291-21 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 04395 | KY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 04395 | KY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0102202686 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Hospital Way, Suite 101, Somerset, KY 425032872 | 6064515092 | |
| 515 22nd Ave, Monroe, WI 535662872 | 6083242000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373895 | Michael Scott Donnelly | Physical Therapist | 102 Cherry Blossom Ln, Lady Lake, FL 32159-4235 | 2014-03-10 |
| 1326394313 | Michael Donnelly | Counselor | 8 Woodrow Wilson Ct Apt 56, Cambridge, MA 02139-4462 | 2012-07-27 |
| 1881853000 | Michael Donnelly | Dentist | 914 Wheeler Rd, Hauppauge, NY 11788-2900 | 2008-06-03 |
| 1285676155 | Michael Donnelly | Physical Therapist | 313 Beebe Run Rd, Bridgeton, NJ 08302-5680 | 2006-06-12 |
| 1912539321 | Michael George Donnelly Jr. | Physical Therapist | 2 Delavergne Ave, Wappingers Falls, NY 12590-1202 | 2020-02-04 |
| 1992336143 | Michael Donnelly | Behavior Technician | 201 Jackson St, Denver, CO 80206-5524 | 2020-01-27 |
| 1447669528 | Michael Donnelly | Physical Therapist | 1111 Ansborough Ave, Waterloo, IA 50701 | 2014-08-04 |
| 1659627446 | Michael James Donnelly | Pharmacist | 323 5th St Ne, Suite # 2, Devils Lake, ND 58301-2476 | 2012-07-30 |
| 1447374723 | Michael Donnelly | Social Worker | 2419 Lewisville Clemmons Rd, Suite # 2, Clemmons, NC 27012-8976 | 2007-03-19 |
| 1932268182 | Michael James Donnelly | General Acute Care Hospital | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-12-06 |
| Street Address |
205 PARKER ST |
| City | BOSCOBEL |
| State | WI |
| Zip Code | 53805-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119064 | Nelly Y Amador | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2006-01-25 |
| 1356900021 | Lauren Vincent | Occupational Therapist | 205 Parker St, Boscobel, WI 53805-1642 | 2019-06-06 |
| 1295291052 | Halie Ruff | Nurse Practitioner | 205 Parker St, Boscobel, WI 53805-1642 | 2019-02-18 |
| 1760938138 | Jonathan R Demory | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-08-26 |
| 1720532534 | Ashley Strasser | Physical Therapist | 205 Parker St, Boscobel, WI 53805-1642 | 2016-08-09 |
| 1982055745 | Casey M Totten | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-06-23 |
| 1639531106 | Joshua D Tessner | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-03-24 |
| 1194131813 | Eli M Burks | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-07-02 |
| 1104230218 | Ameen Taleb | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-06-17 |
| 1356754238 | Colleen L Mccurry | Family Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746450 | Boscobel Family Dental, LLC | Dentist | 105 E. Bluff Street, Boscobel, WI 53805 | 2016-09-01 |
| 1063821890 | Rebecca Augustine | Pharmacist | 1028 Wisconsin Ave., Boscobel, WI 53805 | 2014-08-06 |
| 1164487856 | Richard A Graf | Urology | 200 W Bluff St, Boscobel, WI 53805 | 2006-04-18 |
| 1386727972 | Dr Michael S Mecikalski Sc | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2006-10-24 |
| 1770873440 | Michael S. Mecikalski | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2011-04-14 |
| 1821458852 | Tammy Shepherd | Licensed Practical Nurse | 501 Chestnut St, Boscobel, WI 53805-1130 | 2016-03-03 |
| 1144382011 | Burton Dale Cox Jr. | Family Medicine | 1101 Morrison Dr, Hsu, Boscobel, WI 53805-1180 | 2006-12-15 |
| 1013490101 | Rebecca Miller LLC | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2018-09-13 |
| 1306323803 | Ashley Hady, LLC | Community/Behavioral Health | 406 Elm St, Boscobel, WI 53805-1216 | 2018-07-26 |
| 1720470354 | Rebecca Miller | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2015-02-18 |
| Find all providers in zip 53805 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119064 | Nelly Y Amador | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2006-01-25 |
| 1760938138 | Jonathan R Demory | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-08-26 |
| 1639531106 | Joshua D Tessner | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2016-03-24 |
| 1932136181 | Marija Zakarija | Emergency Medicine | 205 Parker St, Boscobel, WI 53805 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1871955187 | Scott Erickson | Emergency Medicine | 4876 N Sheffield Ave, Whitefish Bay, WI 53217-5962 | 2016-03-25 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
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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.