McDonnell Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME104122 Issued in FL

Legal business name

MCDONNELL DERMATOLOGY LLC

Practice address

25097 Olympia Ave
Ste 204
Punta Gorda, FL 33950-3903

Phone

(941) 205-6676

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Jonelle K McDonnell, MD

Title

Owner

Phone

(941) 205-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Stchur, PA

  • Physician Assistant
  • Punta Gorda, FL
  • NPI 1063958304
  NPD

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280534400000",
    "number": "1609189042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "STE 204",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503903",
            "telephone_number": "941-205-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE",
            "address_2": "STE 204",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503903",
            "telephone_number": "941-205-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONNELL DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-31",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "JONELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-205-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME104122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME104122",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William McBurnie
• Meredith Terese McCann, PA-C
• Thomas Patrick McCarthy, LMT
• Patti Lynn McCluskey, RPH
• Debra McCracken, O.D.
• Megan Rose McGill, PA-C
• Allison Kathryn McGrath
• Mederi of Collier County, Inc.
• Medical Risk Solutions
• Avis Marie Medina, DMD

• Dermatology Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.