Individual provider Active NPI

Linsey Dawn O'Donnell, DO

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1295937027
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C7-0003791 Issued in DE
Practice address
501 W 14TH St # 5W39
Wilmington, DE 19801-1013
Phone
(302) 320-1912
Fax
(302) 421-2705
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C7-0003791 DE Primary
Family Medicine Physician 207Q00000X OS015280 PA

Addresses

Primary practice location

501 W 14TH St # 5W39
Wilmington, DE 19801-1013

Mailing address

1901 N. Market St.
Wilmington, DE 19802-2612
Phone (302) 421-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000452 DE Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Hospice/Palliative Care 2264610997 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C7-0003791DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Feb 1, 2012 Accepting new patients
Christiana Care Health Initiatives Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services Inc Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Initiatives CurrentSince Oct 1, 2015 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Feb 1, 2012 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

501 W 14th St
#5W39
Wilmington, DE 19801
Phone (302) 320-1912

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1400 N Washington St
Wilmington, DE 19801
Phone (302) 255-1300

Organizations & group practices 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1295937027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N. MARKET ST.",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022612",
            "telephone_number": "302-421-2700",
            "fax_number": "302-421-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST # 5W39",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-320-1912",
            "fax_number": "302-421-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "LINSEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C7-0003791",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.