Liza O'Dowd, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD053631L Issued in PA

Practice address

3400 Spruce St
3 Ravdin Suite G
Philadelphia, PA 19104-4206

Phone

(215) 662-2425

NPI assigned

Dec 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1003976499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "15 PENN TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "3 RAVDIN SUITE G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOWD",
        "first_name": "LIZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD053631L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016812110001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Francis O'Donnell, PHARMD
• Lauren J O'Donnell, OT
• Roisin A O'Donnell, M.D.
• William John O'Donnell, PSY.D.
• William T. O'Donnell, MD PHD
• Jacqueline Jaffe O'Duor, LCSW
• Katherine O'Dwyer
• Peter O'Dwyer, MD
• Amanda Jean Bernier O'Halloran, M.D.
• Aimee Marissa O'Hara, OTR

• Allergy & Immunology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Allergy & Immunology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.