Active NPI
David Donnelly, ATC, PA-C
- Physician Assistant
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004896RX
- Practice address
- 4460 Red Bank Rd
Cincinnati, OH 45227 - Phone
- (513) 791-5200
- Fax
- (513) 791-5229
- NPI assigned
- Oct 24, 2016
- Last updated
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004896RX | OH | Primary |
Addresses
Primary practice location
4460 Red Bank Rd
Cincinnati, OH 45227
Mailing address
4460 Red Bank Rd
Cincinnati, OH 45227-2172
Phone (513) 791-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 221-5500
580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654
608 Reading Rd
Mason, OH 45040-3001
Phone (513) 221-5500
7567 Central Parke Blvd
A
Mason, OH 45040-6852
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Physician Assistant | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati, LLC | Physician Assistant | Current | Accepting new patients |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati LLC | Current | Accepting new patients | |
| Christ Hospital Orthopedic Associates LLC | Physician Assistant | Past | Accepting new patients |
Locations
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
4450 Eastgate Blvd
Ste 300
Cincinnati, OH 45245
Phone (513) 981-4202
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Interoperability endpoints
- ddonnelly246837@direct.bsmhealth.org
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1467766204
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
Physician Assistant
-
- Physical Therapist
- Mason, OH
- NPI 1326126061
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Crescent Springs, KY
- NPI 1790780617
-
dba Mercy Health - Orthopaedics and Spine, Liberty Falls
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
-
dba Mercy Health- Kyles Station Orthopedic and Sports Medicine
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
Physician Assistant
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1376859181
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1699226753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 RED BANK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452272172",
"telephone_number": "513-791-5200",
"fax_number": "513-791-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 RED BANK RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45227",
"telephone_number": "513-791-5200",
"fax_number": "513-791-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "DAVID",
"credential": "ATC, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004896RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.
- 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.