Sean C Odonnell

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

25481 Issued in CO

Legal business name

SEAN C ODONNELL

Practice address

629 N Nevada Ave
Suite 110
Colorado Springs, CO 80903-1040

Phone

(719) 473-6171

Fax

(719) 473-0740

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sean C Odonnell, M.D.

Title

Owner

Phone

(719) 473-6171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1700062981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N NEVADA AVE",
            "address_2": "SUITE110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031040",
            "telephone_number": "719-473-6171",
            "fax_number": "719-473-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N NEVADA AVE",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031040",
            "telephone_number": "719-473-6171",
            "fax_number": "719-473-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN C ODONNELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "25481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01254812",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Annette Seagraves, M.D.
• Kristen Seagren, LCSW
• Alexandra Sealey
• Frank Eugene Seaman, DDS, MS
• Rebecca S Seamster-Davis, RN
• Seanor Wellness Collective LLC
• Alexandra Hollenbeck Seanor
• Derek Kevin Seaquist, MD
• Katherine Lee Searl, PMHNP-BC
• Cheryl Searle, P.T.A.

• Point of Service in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.