Active NPI
Erin L O'Donnell, PA-C
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1205073004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1790
- Practice address
- 9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323 - Phone
- (405) 608-8833
- Fax
- (405) 608-8818
- NPI assigned
- Jan 15, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1790 | OK | Primary |
Addresses
Primary practice location
9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323
Mailing address
9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323
Phone (405) 608-8833
Other names 1
- Erin Lea Kramer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McBride Clinic Orthopedic Hospital, LLC | Past | Accepting new patients |
Interoperability endpoints
- eodonnell377964@directc.mercy.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1932145505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1205073004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BROADWAY EXT STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146323",
"telephone_number": "405-608-8833",
"fax_number": "405-608-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BROADWAY EXT STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731146323",
"telephone_number": "405-608-8833",
"fax_number": "405-608-8818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "ERIN",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "KRAMER",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.