NPIMap

Individual provider Active NPI

Donnell I James Jr., P.A.

  • Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1407163439
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C04306 Issued in MD
Practice address
10084 Reisterstown Rd Ste 200a
Owings Mills, MD 21117-4096
Phone
(410) 552-5050
Fax
(410) 552-0200
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X T0004306 MD
Physician Assistant 363A00000X C04306 MD Primary

Addresses

Primary practice location

10084 Reisterstown Rd Ste 200a
Owings Mills, MD 21117-4096

Mailing address

6190 Georgetown Blvd Ste 104
Eldersburg, MD 21784-6460
Phone (410) 552-5050

Other practice location 1

1380 Progress Way
suite 112
Eldersburg, MD 21784-6464
Phone (410) 549-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000093 MD Practitioner - Physician Assistant 1355521733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

410 Malcolm Dr
Suite a
Westminster, MD 21157-6160
Phone (410) 876-7772

6190 Georgetown Blvd
Suite 104
Eldersburg, MD 21784-6460
Phone (410) 552-5050

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Amedisys Home Health Home health agency, Westminster, MD, CCN 217048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C04306MDMDPhysician Assistant
T0004306MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince May 1, 2017 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince May 1, 2017 Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10084 Reisterstown Rd
Ste 200A
Owings Mills, MD 21117
Phone (410) 552-5050

6190 Georgetown Blvd
Ste 104
Sykesville, MD 21784
Phone (410) 356-0410

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1407163439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 GEORGETOWN BLVD STE 104",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846460",
            "telephone_number": "410-552-5050",
            "fax_number": "410-552-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 200A",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174096",
            "telephone_number": "410-552-5050",
            "fax_number": "410-552-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Progress Way",
            "address_2": "suite 112",
            "address_purpose": "LOCATION",
            "city": "Eldersburg",
            "state": "MD",
            "postal_code": "217846464",
            "country_code": "US",
            "telephone_number": "410-549-2000",
            "fax_number": "410-549-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DONNELL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "T0004306",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.