Ronan Mark Donnelly (NPI# 1912387614, PAC ID# 9931417706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912387614 |
| PAC ID by PECOS | 9931417706 |
| Professional Enrollment ID | I20150928001326 |
| Full Name | Ronan Mark Donnelly |
| Organization Legal Name | COMMUNITY ORTHOPEDIC MEDICAL GROUP |
| Address |
26401 Crown Valley Pkwy Suite 101 Mission Viejo CA 92691-6302 |
| Phone Number | 9493484000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365426517 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 | 9493484000 | COMMUNITY ORTHOPEDIC MEDICAL GROUP |
| Organization Legal Name | COMMUNITY ORTHOPEDIC MEDICAL GROUP |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Marandola | Sports Medicine | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Kent Russell Adamson | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Edmund Salgado Evangelista | Physical Medicine and Rehabilitation | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| John Raymond Morris | Hand Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tyler Grant Waldron | Physician Assistant | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tom Duane Thomas | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Kent Steven Marangi | Sports Medicine | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Charles Lawrence Stewart | Physician Assistant | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Stephen Tocci | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tiva Hanjan | Physical Medicine and Rehabilitation | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Street Address |
26401 CROWN VALLEY PKWY SUITE 101 |
| City | MISSION VIEJO |
| State | CA |
| Zip | 92691-6302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Marandola | Sports Medicine | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Kent Russell Adamson | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Edmund Salgado Evangelista | Physical Medicine and Rehabilitation | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| John Raymond Morris | Hand Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tyler Grant Waldron | Physician Assistant | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tom Duane Thomas | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Kent Steven Marangi | Sports Medicine | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Charles Lawrence Stewart | Physician Assistant | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Stephen Tocci | Orthopedic Surgery | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Tiva Hanjan | Physical Medicine and Rehabilitation | Community Orthopedic Medical Group | 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard L Kim | Neurology | Neuralview Medical Group PC | 27246 Villanueva, Mission Viejo, CA 92691-2139 |
| Kim C Till | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Abigail Mecham | Clinical Social Worker | County of Orange | 23228 Madero, Mission Viejo, CA 92691-2706 |
| Daniel Kanoa Bever | Physical Therapy | Southland Physical Therapy Inc | 25565 Jeronimo Rd, Mission Viejo, CA 92691-2707 |
| Marina A Ball | Dermatology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Kevin R Yuhan | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| My-lan Le-nguyen | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Keith J Pince | Ophthalmology | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Pauline Chang Uehara | Optometry | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Michael Kim | Family Medicine | Southern California Permanente Medical Group | 23781 Maquina, Mission Viejo, CA 92691-2716 |
| Find all physicians in zip 92691 | |||
| City | MISSION VIEJO |
| Zip Code | 92691 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MISSION VIEJO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ronan Mark 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.