Active NPI
Dan D Donnell, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Midwest City, OK
National Provider Identifier
1003873209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 13430
- Practice address
- 2825 Parklawn
Midwest City, OK 73110 - Phone
- (405) 610-6641
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13430 | OK | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 13430 | OK | Primary |
Addresses
Primary practice location
2825 Parklawn
Midwest City, OK 73110
Mailing address
2804 Cactus Dr
Edmond, OK 73013-7936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100100920A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Midwest City, LLC | Emergency Medicine | Past | Accepting new patients |
| Moore Emergency Physicians, LLC | Emergency Medical Services | Past | Accepting new patients |
| Oklahoma Hma Urgent Care, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1558386474
-
- Emergency Medical Services (Emergency Medicine) Physician
- Moore, OK
- NPI 1497774616
-
- General Practice Physician
- Midwest City, OK
- NPI 1861618720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1003873209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 CACTUS DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730137936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "73110",
"telephone_number": "405-610-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELL",
"first_name": "DAN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "13430",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": "13430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100100920A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.