ROBERT L DONNELL (NPI# 1700874542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700874542 |
| Entity Type | Individual |
| Full Name | ROBERT L DONNELL |
| Credential | MD |
| Practice Address |
200 Hemlock St Tawas City MI 48763-9237 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893629433 |
| Practice Fax Number | 9893629454 |
| Mailing Telephone | 9893629411 |
| Mailing Fax Number | 9893629925 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301073896 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4737016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265649974 | Robert F Donnell | Psychiatry & Neurology | 7 Alumni Dr, Exeter, NH 03833-2118 | 2007-05-16 |
| 1659323566 | Robert F Donnell | Urology | 9200 W Wisconsin Ave, Department of Urology, Milwaukee, WI 53226-3522 | 2006-05-17 |
| 1306803655 | Robert William Donnell | Hospitalist | 2710 Rife Medical Ln, Hospitalist, Rogers, AR 72758-1452 | 2006-04-28 |
| 1639150279 | Robert Donnell | Pathology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2005-11-10 |
| Street Address |
200 HEMLOCK ST |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861909186 | Neal Mason | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2018-01-08 |
| 1356897409 | Kymberly Samotis | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2016-08-29 |
| 1962775080 | Alcona Citizens for Health, Inc | Obstetrics & Gynecology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2012-02-21 |
| 1982914313 | Jayna Lynnae Ayres | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-10-19 |
| 1871810523 | St Joseph Health System Inc | Urology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-04-21 |
| 1629305354 | Stacy Michelle Shoen | Pharmacist | 200 Hemlock St, Tawas City, MI 48763-9237 | 2009-11-18 |
| 1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
| 1497973762 | Alliance Imaging Inc | Clinic/Center | 200 Hemlock St, Tawas City, MI 48764 | 2007-04-23 |
| 1669499133 | Dwight Fiske | Physician Assistant | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-17 |
| 1720017320 | Keith Lawrence | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
| 1487093274 | Heidi M Egloff | Internal Medicine | 1140 E Michigan Ave, Lansing, MI 48912-1805 | 2013-06-14 |
| 1588008809 | Roba Alhasan | Internal Medicine | 4900 Mercury Dr Ste 100, Dearborn, MI 48126-2947 | 2013-04-18 |
| 1285975151 | David Allen Leichtman | Internal Medicine | 5216 Mirror Lake Ct, West Bloomfield, MI 48323-1536 | 2013-03-02 |
| 1184988750 | Musnon Medical Center | Internal Medicine | 4960 Skyview Court, Traverse City, MI 49684-7173 | 2012-06-28 |
| 1659634772 | Leann Michelle Blankenship | Internal Medicine | 3577 W 13 Mile Rd Ste 202, Royal Oak, MI 48073-6710 | 2012-06-22 |
| 1609160928 | Iha Health Services Corporation | Internal Medicine | 5301 E Huron River Dr Ste 210, Ypsilanti, MI 48197-1051 | 2011-06-03 |
| 1366733156 | Nakul Singhal | Internal Medicine | 5015 Oak Tree Ct, Ann Arbor, MI 48108-8573 | 2011-04-27 |
| 1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
| 1598911448 | Mohammad Muhsin Chisti | Internal Medicine | 44199 Dequindre Rd Ste G-10, Troy, MI 48085-1128 | 2008-08-12 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.