Active NPI
William D O'Donnell, M.D.
- Ophthalmology Physician
- Silver Spring, MD
National Provider Identifier
1215952437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0004530
- Practice address
- 2101 Medical Park Dr
Silver Spring, MD 20902-4053 - Phone
- (301) 681-6600
- Fax
- (301) 681-3799
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0004530 | MD | Primary |
Addresses
Primary practice location
2101 Medical Park Dr
Silver Spring, MD 20902-4053
Mailing address
12117 Red Admiral Way
Germantown, MD 20876-5939
Phone (301) 916-6160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255018 | Other | UNITED HEALTHCARE - MAMSI | |
| 0003 | Other | BLUE CROSS/BLUE SHIELD | |
| 180030694 | Other | MEDICARE - RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0004530 | MD | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladas Eye Group PA | Ophthalmology | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2101 Medical Park Dr
Silver Spring, MD 20902
Phone (301) 681-6600
2101 Medical Park Dr
Ste 101
Silver Spring, MD 20902
Phone (301) 681-6600
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215952437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12117 RED ADMIRAL WAY",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208765939",
"telephone_number": "301-916-6160",
"fax_number": "301-916-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MEDICAL PARK DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024053",
"telephone_number": "301-681-6600",
"fax_number": "301-681-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0004530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE - MAMSI",
"identifier": "255018",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - RAILROAD",
"identifier": "180030694",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.