Mark William Donnelly (NPI# 1700820784, PAC ID# 1658359450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700820784 |
| PAC ID by PECOS | 1658359450 |
| Professional Enrollment ID | I20040708001305 |
| Full Name | Mark William Donnelly |
| Organization Legal Name | SANTIAM MEMORIAL HOSPITAL |
| Address |
1401 N 10th Ave Stayton OR 97383-1311 |
| Phone Number | 5037692175 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6103729751 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381325 | GOOD SHEPHERD MEDICAL CENTER |
| 380056 | SANTIAM HOSPITAL |
| 380027 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 610 Nw 11th St, Hermiston, OR 97838-6601 | 5416673438 | GOOD SHEPHERD HEALTH CARE SYSTEM |
| 1401 N 10th Ave, Stayton, OR 97383-1311 | 5037692175 | SANTIAM MEMORIAL HOSPITAL |
| Organization Legal Name | SANTIAM MEMORIAL HOSPITAL |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Shroyer | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Benjamin J Lee | Cardiovascular Disease (cardiology) | Santiam Memorial Hospital | 1371 N 10th Ave, Stayton, OR 97383-2037 |
| Jackie Burman-solgan | Nurse Practitioner | Santiam Memorial Hospital | 114 Se Church St, Sublimity, OR 97385-9714 |
| Lauren Carlson | Nurse Practitioner | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Christian L Spencer | Physician Assistant | Santiam Memorial Hospital | 1369 N 10th Ave, Stayton, OR 97383-2037 |
| Scott T Hadden | Family Practice | Santiam Memorial Hospital | 1373 N 10th Ave, Santiam Women's Clinic, Stayton, OR 97383-2037 |
| Janine Tracy Vansant | Internal Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Erin L Cramer | Physician Assistant | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Amanda R Johnston | Emergency Medicine | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Brian D Wadley | Diagnostic Radiology | Santiam Memorial Hospital | 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 |
| Street Address |
1401 N 10TH AVE |
| City | STAYTON |
| State | OR |
| Zip | 97383-1311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Shroyer | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| John Gallo | Family Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Laurie M Duff | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Joaquin E Espinoza | Emergency Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Travis C Blackhurst | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Arkady Klykov | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| George Matthew Degner | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| Steven M Maland | Certified Registered Nurse Anesthetist (crna) | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Thomas D Gilberts | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| Allyson Hudson Sterling | General Surgery | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383-1203 | |
| Brett T Greene | Family Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Stayton, OR 97383-1311 |
| Susan E Speece | Nurse Practitioner | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| James W Bayuk | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| Fatima J Baar | Physician Assistant | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| Kim Dang | Internal Medicine | Santiam Memorial Hospital | 1401 N 10th Ave, Suite 200, Stayton, OR 97383-1487 |
| Cody A Leder | Chiropractic | 561 N 1st Ave, Stayton, OR 97383-1703 | |
| Henry F Storey | Optometry | 515 N 3rd Ave, Stayton, OR 97383-1729 | |
| Benjamin J Lee | Cardiovascular Disease (cardiology) | Santiam Memorial Hospital | 1371 N 10th Ave, Stayton, OR 97383-2037 |
| Christian L Spencer | Physician Assistant | Santiam Memorial Hospital | 1369 N 10th Ave, Stayton, OR 97383-2037 |
| Find all physicians in zip 97383 | |||
| City | STAYTON |
| Zip Code | 97383 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | STAYTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark William Donnelly.
| 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.