Active NPI
William Patrick Donnelly, M.D.
- Ophthalmology Physician
- Kansas City, MO
National Provider Identifier
1386658409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MOR8282
- Practice address
- 1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802 - Phone
- (816) 942-8333
- Fax
- (816) 942-6663
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | MOR8282 | MO | Primary |
Addresses
Primary practice location
1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802
Mailing address
1004 Carondelet Dr
Suite 400
Kansas City, MO 64114-4802
Phone (816) 942-8333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15108024 | Other | BC/BS PROVIDER NUMBER | |
| 180020394 | Other | RAILROAD MEDICARE NUMBER | |
| 2150304 | Other | AETNA HMO PROVIDER NUMBER | |
| 4107883 | Other | AETNA PPO PROVIDER NUMBER |
Other names 1
- WM Patrick Donnelly
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386658409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 400",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144802",
"telephone_number": "816-942-8333",
"fax_number": "816-942-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR",
"address_2": "SUITE 400",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144802",
"telephone_number": "816-942-8333",
"fax_number": "816-942-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "WILLIAM",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "MOR8282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER NUMBER",
"identifier": "15108024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "180020394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER NUMBER",
"identifier": "2150304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO PROVIDER NUMBER",
"identifier": "4107883",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WM",
"last_name": "DONNELLY",
"middle_name": "PATRICK",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kansas City, MO
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.