Robert L Donnell, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

4301073896 Issued in MI

Practice address

200 Hemlock St
Tawas City, MI 48763-9237

Phone

(989) 362-9433

Fax

(989) 362-9454

NPI assigned

Oct 6, 2005

Last updated

Feb 23, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.donnell.1@11016.direct.athenahealth.com

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.

• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461
  Medicare reassignment
• Mymichigan Medical Center Tawas

  • Internal Medicine Physician
  • Tawas City, MI
  • NPI 1003996679
  NPD
• Bay Street Orthopaedics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Gaylord, MI
  • NPI 1982238705
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1700874542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-362-9433",
            "fax_number": "989-362-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEMLOCK ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639237",
            "telephone_number": "989-362-9433",
            "fax_number": "989-362-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "4301073896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4737016",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Aldrich Dawson, D.D.S.
• Regina Cassar Demetrakeas, LMSW
• Teresa Dewald I
• Diagnostic Pain and Rehab Medicine, PLLC
• Margaret Ann Dienes, LMSW
• Sherry Donovan, CRNA
• Steven Dowdy, DO
• Coleen Dziurlikowski, LLPC
• Diana Ennes, MD
• Danielle Kristine Eno, LLPC

• Hematology & Oncology Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Hematology & Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.