Donnamarie Pellom

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3512 NW 51St St Apt 5
Oklahoma City, OK 73112-5676

Phone

(405) 977-6445

NPI assigned

Apr 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Donnamarie Schoburgh Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1154902336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 NW 51ST ST APT 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125676",
            "telephone_number": "405-977-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 NW 51ST ST APT 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125676",
            "telephone_number": "405-977-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOM",
        "first_name": "DONNAMARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "donnapellom7721@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3512 NW 51st St Apt 5",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731125676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONNAMARIE",
            "last_name": "SCHOBURGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aubree Peirce
• Ilana Betuel Peiroo
• Gary Peitzmeier
• Panayiotis Pelargos
• Nicole Pelletier
• Joe Pellow
• Stan Pelofsky, M.D.
• Brooke Ellen Pelton, PA-C
• Janet Pelzel, PHARM. D.
• Alexis Pemberton

• Peer Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.