NPIMap

Individual provider Active NPI

Nancy J Odonnell, MD

  • Obstetrics & Gynecology Physician
  • Easton, PA
National Provider Identifier
1134118458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD033621E Issued in PA
Practice address
3311 Nazareth Rd
Easton, PA 18045-2017
Phone
(610) 559-7880
Fax
(610) 559-0633
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD033621E PA Primary

Addresses

Primary practice location

3311 Nazareth Rd
Easton, PA 18045-2017

Mailing address

3311 Nazareth Rd
Easton, PA 18045-2017
Phone (610) 559-7880

Other identifiers 2

IdentifierTypeStateIssuer
03057100OtherPAB CROSS
147920OtherPAB SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000617 PA Practitioner - Obstetrics/Gynecology 4789879628 Reassigns benefits to 2 organizations
Practice locations: Easton, PA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Pennsylvania, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (484) 526-4761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2020 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Lukes Hospital-Anderson Campus Past Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St Luke's Hospital Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 8

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134118458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452017",
            "telephone_number": "610-559-7880",
            "fax_number": "610-559-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452017",
            "telephone_number": "610-559-7880",
            "fax_number": "610-559-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD033621E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B CROSS",
            "identifier": "03057100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B SHIELD",
            "identifier": "147920",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.