Diane Marie Macdonnell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

172673-1 Issued in NY

Practice address

461 Glen St
Glens Falls, NY 12801-2906

Phone

(518) 745-5889

Fax

(518) 745-0010

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Icahn School of Medicine at Mount Sinai, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Medicine PLLCGroup PAC ID 7810089885, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Country Medicine PLLC

  • General Practice Physician
  • Glens Falls, NY
  • NPI 1346463940
  Medicare reassignment Care Compare group NPD Authorized official
• Adirondack Neurology Associates, PC

  • Neurology Physician
  • Glens Falls, NY
  • NPI 1861585549
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003897398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012906",
            "telephone_number": "518-745-5889",
            "fax_number": "518-745-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012906",
            "telephone_number": "518-745-5889",
            "fax_number": "518-745-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONNELL",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "172673-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert F Love, M.D.
• Denis N Lusignan, M.D.
• Joanne Lydon, RN
• Shannon Cain Lynch, LCSW
• Michelle Mabie
• Katherine Ann Mackenzie, LAC
• Chad Derrick Macnaughton, DC, FNP
• Raymond A Maddocks, MD
• Rebecca Barber Mahar, RD, CDN, CDE
• Harry Wallace Mahood Jr., MD

• Family Medicine Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.