MICHAEL A DONNELLY


Address: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842
Phone: 6083642200

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
DEAN HEALTH PLAN HMO 10631 01
WI 1831107671 05

Other Providers MICHAEL DONNELLY

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

Office Location

Street Address 1905 E. HUEBBE PARKWAY
BELOIT HEALTH SYSTEM INC.
City BELOIT
State WI
Zip Code 53511-1842

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BELOIT
Zip Code 53511

Improve Information

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Dataset Information

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.

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