Individual provider Active NPI

Greg A O'Donnell, AT

  • Athletic Trainer
  • Fairfield Township, OH
National Provider Identifier
1275178485
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
002145 Issued in OH
Practice address
3300 Princeton Rd
Fairfield Township, OH 45011-5390
Phone
(513) 868-9999
NPI assigned
Nov 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 002145 OH Primary

Addresses

Primary practice location

3300 Princeton Rd
Fairfield Township, OH 45011-5390

Mailing address

7430 Bridge Point Pass
Cincinnati, OH 45248-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002145OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Fairfield, LLC CurrentSince Nov 17, 2019 Accepting new patients
Mercy Health Urgent Care LLC PastSince Nov 17, 2019 Accepting new patients

Locations

3300 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 868-9999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21281/brand/1/csg/1/fhir/r4

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1275178485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 BRIDGE POINT PASS",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452481916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PRINCETON RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115390",
            "telephone_number": "513-868-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "GREG",
        "middle_name": "A",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "002145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.