Terry Saphr O'Donnell, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000644 Issued in CT

Practice address

131 New London Tpke Ste 101
Glastonbury, CT 06033-2246

Phone

(860) 659-8904

NPI assigned

Feb 10, 2006

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 CT

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

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Associates of Hartford, PCGroup PAC ID 0648173500, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: o'donnell.terry.013.0090427@avh.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allergy Associates of Hartford, PC

  • Allergy Physician
  • Glastonbury, CT
  • NPI 1003937988
  Medicare reassignment Care Compare group
• Prospect Manchester Hospital, Inc.

  • Health Educator
  • South Windsor, CT
  • NPI 1821695222
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1700859576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-659-8904",
            "fax_number": "860-246-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NEW LONDON TPKE STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332246",
            "telephone_number": "860-659-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Woodland St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061054318",
            "country_code": "US",
            "telephone_number": "860-246-7273",
            "fax_number": "860-246-5828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "TERRY",
        "middle_name": "SAPHR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition and Wellness Consulting, LLC
• Therese McConnell Nuzzolo, RDN
• Gillian Mary O'Callaghan, APRN
• Kelly O'Connell-Seagraves, LPC
• Kevin William O'Connell
• Lauren A O'Leary, LPC
• Kerry K O'Neal, OD
• Margaret Ryan O'Neill, MD
• James Joseph Ocampo, MD
• Oct Care of CT, LLC

• Medical Physician Assistant in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.

Verify at the official NPI Registry.