Active NPI
Bruce O'Donnell, CRNA
- Certified Registered Nurse Anesthetist
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9292231
- Practice address
- 300 Main St
Lewiston, ME 04240-7027 - Phone
- (207) 795-5775
- Fax
- (207) 795-5653
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA83185 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9292231 | FL | Primary |
Addresses
Primary practice location
300 Main St
Lewiston, ME 04240-7027
Mailing address
300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9292231 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Outpatient Anesthesia of Southwest Florida Inc | Current | Accepting new patients | |
| Advanced Gastroenterology of Naples, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia & Pain Consultants of SW FL | Current | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
4035 Evans Ave
Fort Myers, FL 33901
Phone (941) 939-4937
12511 World Plaza Ln
Bldg 50
Fort Myers, FL 33907
Phone 2399392622 ext. 300
3439 Pine Ridge Rd
Naples, FL 34109
Phone (239) 593-9599
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDCGDD
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Naples, FL
- NPI 1659381614
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Specialist
- Fort Myers, FL
- NPI 1609843275
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Specialist
- Fort Myers, FL
- NPI 1518244383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680825600000",
"number": "1497764815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027",
"telephone_number": "207-795-5775",
"fax_number": "207-795-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407027",
"telephone_number": "207-795-5775",
"fax_number": "207-795-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "BRUCE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2023-04-07",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA83185",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9292231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.