Organization Active NPI

Patricia a Odonnell DO PLLC

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1649983529
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATRICIA A ODONNELL DO PLLC
Practice address
8171 Sheridan Dr Ste 600
Williamsville, NY 14221-6002
Phone
(716) 839-7107
Fax
(716) 839-5803
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Patricia A O'Donnell, DONPI 1316012560
Title
Physician/Owner
Phone
(716) 839-7107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8171 Sheridan Dr Ste 600
Williamsville, NY 14221-6002

Mailing address

8171 Sheridan Dr Ste 600
Williamsville, NY 14221-6002
Phone (716) 839-7107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208001132 NY Part B Supplier - Clinic/Group Practice 3375915986 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2299698Patricia a Odonnell DO PLLC8171 Sheridan Dr Ste 600, Williamsville, NY 14221Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

8171 Sheridan Dr
#600
Williamsville, NY 14221
Phone (716) 839-7107

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1649983529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 SHERIDAN DR STE 600",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-839-7107",
            "fax_number": "716-839-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 SHERIDAN DR STE 600",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-839-7107",
            "fax_number": "716-839-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A ODONNELL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "716-839-7107",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.