Individual provider Active NPI

Michael O'Donovan, D.C.

  • Chiropractor
  • New Port Richey, FL
National Provider Identifier
1215460902
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12080 Issued in FL
Practice address
5633 State Road 54
New Port Richey, FL 34652-6020
Phone
(727) 372-0091
Fax
(727) 372-0192
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12080 FL Primary

Addresses

Primary practice location

5633 State Road 54
New Port Richey, FL 34652-6020

Mailing address

5633 State Road 54
New Port Richey, FL 34652-6020
Phone (727) 372-0091

Other practice location 1

500 North Union Street
Middletown, PA 17057-1950
Phone (717) 944-2225

Other practice location 2

845 Sir Thomas Court
Harrisburg, PA 17109-4840
Phone (717) 652-4002

Other practice location 3

1300 Bent Creek Blvd
Mechanicsburg, PA 17050-1871
Phone (717) 796-2225

Other practice location 4

20 North Barbara Street
Mount Joy, PA 17552-1402
Phone (717) 492-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627002628 PA Practitioner - Chiropractic 9739459652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Colman Center PCGroup PAC ID 9436453958, 12 clinicians

Practice addresses (Care Compare)

500 N Union St
Middletown, PA 17057-1950
Phone (717) 944-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Colman Center PC Chiropractor CurrentSince Jun 8, 2022 Accepting new patients
Hetrick Center PC Chiropractor Past Accepting new patients

Locations

845 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 233-6791

1300 Bent Creek Blvd
Mechanicsburg, PA 17050
Phone (717) 796-2225

500 N Union St
Middletown, PA 17057
Phone (717) 944-2225

20 N Barbara St
Mount Joy, PA 17552
Phone (717) 492-0303

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.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1215460902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526020",
            "telephone_number": "727-372-0091",
            "fax_number": "727-372-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 STATE ROAD 54",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346526020",
            "telephone_number": "727-372-0091",
            "fax_number": "727-372-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 North Union Street",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "PA",
            "postal_code": "170571950",
            "country_code": "US",
            "telephone_number": "717-944-2225",
            "fax_number": "717-944-0932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Sir Thomas Court",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094840",
            "country_code": "US",
            "telephone_number": "717-652-4002",
            "fax_number": "717-652-4005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Bent Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170501871",
            "country_code": "US",
            "telephone_number": "717-796-2225",
            "fax_number": "717-796-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 North Barbara Street",
            "address_purpose": "LOCATION",
            "city": "Mount Joy",
            "state": "PA",
            "postal_code": "175521402",
            "country_code": "US",
            "telephone_number": "717-492-0303",
            "fax_number": "717-492-0309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONOVAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.