Harley Daniel Donnelly, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8807 Issued in VT

Practice address

586 Oak Hill Rd
Williston, VT 05495

Phone

(802) 878-8131

Fax

(802) 879-8653

NPI assigned

Aug 9, 2006

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas Chittenden Health Center, PLC

  • Family Medicine Physician
  • Williston, VT
  • NPI 1811099229
  Medicare reassignment NPD
• Thomas Chittenden Health Center

  • Family Medicine Physician
  • Williston, VT
  • NPI 1710053004
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1417967787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-878-8131",
            "fax_number": "802-879-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 OAK HILL RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-878-8131",
            "fax_number": "802-879-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "HARLEY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "8807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0733",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dill, MD
• Nina Dinan, PT
• Discovering Balance Counseling Services PLC
• Lindsay Ann Distel, RD, CD, CSSD
• Dominion Diagnostics, LLC
• John William Donnelly, PH.D.
• Richard Harry Dooley, PAC
• James Dougherty, M.D.
• Dowling Dental PLLC
• Dream Jar Farms LLC (FYZICAL Therapy and Balance Centers Williston)

• Family Medicine Physician in Williston, VT
• Providers in Williston, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.