Active NPI
Michele J Macdonnell, M.D.
- Internal Medicine Physician
- Stillwater, OK
National Provider Identifier
1285613299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18632
- Practice address
- 1815 W 6TH Ave
Stillwater, OK 74074 - Phone
- (405) 743-7300
- Fax
- (405) 743-7225
- NPI assigned
- Jan 10, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18632 | OK | Primary |
Addresses
Primary practice location
1815 W 6TH Ave
Stillwater, OK 74074
Mailing address
1815 W 6TH Ave
Stillwater, OK 74074
Phone (405) 743-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 24, 2024 through Jun 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18632 | OK | MD | Internal Medicine Physician |
Interoperability endpoints
- michele.macdonnell.p1@direct.smc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1285613299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74074",
"telephone_number": "405-743-7300",
"fax_number": "405-743-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "74074",
"telephone_number": "405-743-7300",
"fax_number": "405-743-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONNELL",
"first_name": "MICHELE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "18632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.