MICHAEL A DONNELLY (NPI# 1831107671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831107671 |
Entity Type | Individual |
Full Name | MICHAEL A DONNELLY |
Credential | DO FACOS |
Practice Address |
1905 E. Huebbe Parkway Beloit Health System Inc. Beloit WI 53511-1842 |
Practice Telephone | 6083642200 |
Practice Fax Number | 6083642705 |
Mailing Telephone | 6083642200 |
Mailing Fax Number | 6083642705 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2011-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 036-075916 | IL | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | 33488021 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEAN HEALTH PLAN HMO | 10631 | 01 | |
WI | 1831107671 | 05 |
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 |
1477789105 | Michael K Donnelly | Emergency Medicine | 205 Parker St, Boscobel, WI 53805-1642 | 2009-06-09 |
1447374723 | Michael Donnelly | Social Worker | 2419 Lewisville Clemmons Rd, Suite # 2, Clemmons, NC 27012-8976 | 2007-03-19 |
Street Address |
1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC. |
City | BELOIT |
State | WI |
Zip Code | 53511-1842 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033187216 | Vijaya Somaraju | Internal Medicine | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2006-03-14 |
1932765054 | Taylor Jordan Tomczak | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2019-05-14 |
1265847131 | Tammy J. Flanders | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2014-06-30 |
1750727012 | Nicole L Chen | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2013-05-14 |
1386906030 | Rebecca Lynn White | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2012-06-08 |
1891052817 | Leah F. Farley | Pediatrics | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2012-04-15 |
1306119425 | Thomas Michael Valentine | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2012-02-21 |
1922389022 | Nora H Rabin | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2011-09-01 |
1871728014 | Neel K Karne | Surgery | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2009-05-18 |
1326222043 | Carolyn Ann Jones | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2007-12-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265541999 | Larry M Ojeda | Urology | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2006-08-29 |
1255385258 | Kevin M Tomera | Urology | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MICHAEL A DONNELLY.
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.