Marnie Irene Odonnell, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002681L Issued in PA

Practice address

121 Nyes Rd
Harrisburg, PA 17112-3247

Phone

(717) 531-8674

NPI assigned

Sep 9, 2005

Last updated

Dec 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• The Milton S Hershey Medical Center Physicians Group

  • Orthopaedic Surgery Physician
  • Hershey, PA
  • NPI 1710951744
  Medicare reassignment NPD
• The Milton S Hershey Medical Center Physician Group

  • Body Imaging Physician
  • Hershey, PA
  • NPI 1346215928
  NPD

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1649264268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 RED HAVEN RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170703163",
            "telephone_number": "814-934-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NYES RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123247",
            "telephone_number": "717-531-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODONNELL",
        "first_name": "MARNIE",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002681L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Occupational Health Centers of the Southwest PA (Concentra Medical Center)
• Oculoplastic Consultants of Central PA
• Sean M Odell, M.ED, PHD
• Olutunde O Odeyemi, MD
• Amanda Oechler, RN, BSN
• Heather Elizabeth Ofak, RN, BSN
• Nichele Oglesby, MSW
• Olufemi Ogunnaike, RN
• Vicki A Ohler, CRNP

• Medical Physician Assistant in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.