Timothy J Donatelli (NPI# 1982667903, PAC ID# 0345281648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1982667903 |
| PAC ID by PECOS | 0345281648 |
| Professional Enrollment ID | I20050607000458 |
| Full Name | Timothy J Donatelli |
| Organization Legal Name | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| Address |
401 Rogers St Princeton WV 24740-3636 |
| Phone Number | 3044879442 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7911948583 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510046 | PRINCETON COMMUNITY HOSPITAL |
| 510070 | RALEIGH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3706 S Main St, Blacksburg, VA 24060-7006 | 54095133387006 | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| 2036 Leatherwood Ln, Bluefield, VA 24605-2020 | 2763221800 | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| 5504 Maccorkle Ave Se, Charleston, WV 25304-2320 | 8002559255 | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| 401 Rogers St, Princeton, WV 24740-3636 | 3044879442 | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| Organization Legal Name | FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Henry Hoffman | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Robert Schopf | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 2036 Leatherwood Ln, Bluefield, VA 24605-2020 |
| Mark T Wilt | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 3706 S Main St, Blacksburg, VA 24060-7006 |
| Joseph G Protain | Vascular Surgery | Foot and Ankle Clinic of The Virginias Inc | 813 Kentwood Dr, Youngstown, OH 44512-5004 |
| Marshal Thomas Gwynn | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 3706 S Main St, Blacksburg, VA 24060-7006 |
| Jeremy Brouillette | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Douglas Stewart Dockery | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 3706 S Main St, Blacksburg, VA 24060-7006 |
| James Louis Chianese | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Luciano L Serdoz | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Street Address |
401 ROGERS ST |
| City | PRINCETON |
| State | WV |
| Zip | 24740-3636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Henry Hoffman | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Jeremy Brouillette | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| James Louis Chianese | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Luciano L Serdoz | Podiatry | Foot and Ankle Clinic of The Virginias Inc | 401 Rogers St, Princeton, WV 24740-3636 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
| David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
| Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
| Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
| Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
| Find all physicians in zip 24740 | |||
| City | PRINCETON |
| Zip Code | 24740 |
| Specialty | PODIATRY |
| City + Specialty | PRINCETON + PODIATRY |
Please comment or provide details below to improve the information on Timothy J Donatelli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.