Terence J McDonnell MD Professional Corp

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

C326600 Issued in CA

Legal business name

TERENCE J MCDONNELL MD PROFESSIONAL CORP

Practice address

2999 Regent Street
Suite 710
Berkeley, CA 94705-2117

Phone

(510) 841-1266

Fax

(510) 841-0423

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terence J McDonnell, M.D.

Title

President

Phone

(510) 841-1266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1053501320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT STREET",
            "address_2": "SUITE 710",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052117",
            "telephone_number": "510-841-1266",
            "fax_number": "510-841-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT STREET",
            "address_2": "SUITE 710",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052117",
            "telephone_number": "510-841-1266",
            "fax_number": "510-841-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE J MCDONNELL MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-841-1266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "C326600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine Nee Teng, MD
• William P Tennant, WILLIAM TENNANT
• Mary Tennes, PH.D.
• Doma Tenzin, RN
• Jamba Dolkar Tenzing, NP
• Ariane R. Terlet, D.D.S
• Terri Huh, Psychologist, Professional Corporation
• Terri R Dunn MD a Medical Corporation
• Robert Duval Terris, JD, MFT
• Melvin Anthony Terry, P.T.

• Sports Medicine (Orthopaedic Surgery) Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.