NPIMap

Individual provider Active NPI

James Allen O'Donnell, M.D.

  • Gynecology Physician
  • Glenwood Springs, CO
National Provider Identifier
1699721738
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
21798 Issued in CO
Practice address
1830 Blake Ave
Glenwood Springs, CO 81601-4275
Phone
(970) 945-8503
Fax
(970) 947-9048
NPI assigned
May 26, 2006
Last updated
Jul 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 21798 CO Primary

Addresses

Primary practice location

1830 Blake Ave
Glenwood Springs, CO 81601-4275

Mailing address

PO Box 190
Glenwood Springs, CO 81602-0190
Phone (970) 379-1586

Other identifiers 2

IdentifierTypeStateIssuer
COAAA1927OtherCOMEDICARE ID
01217983MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100615000241 CO Practitioner - Obstetrics/Gynecology 7810027091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glenwood Medical Associates PCGroup PAC ID 6901798404, 16 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Glenwood Springs, CO 81601-4275

406 Hyland Park Dr
Suite F
Glenwood Springs, CO 81601-4270
Phone (970) 945-0506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21798COMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Medical Assoc Gynecology CurrentSince Oct 3, 2011 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Glenwood Medical Associates PC CurrentSince Oct 3, 2011 Accepting new patients
James a O'Donnell, MD, PC Gynecology Past Accepting new patients
GMJM, LLC Past Accepting new patients

Locations

1830 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-8503

1830 Blake Ave
Ste 102
Glenwood Springs, CO 81601
Phone (970) 945-0253

1830 Blake Ave
Ste 208
Glenwood Springs, CO 81601
Phone (970) 945-2238

406 Hyland Park Dr
Ste F
Glenwood Springs, CO 81601
Phone (970) 379-2093

Interoperability endpoints

  • Direct secure messaging: vvh_him@direct.vvh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1699721738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020190",
            "telephone_number": "970-379-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503",
            "fax_number": "970-947-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "21798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "COAAA1927",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01217983",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.