Russell D. Donnelly, M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

56088 Issued in MA

Legal business name

RUSSELL D. DONNELLY, M.D.,P.C.

Practice address

123 Summer St
Suite 535
Worcester, MA 01608-1216

Phone

(508) 363-6363

Fax

(508) 363-6366

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell D Donnelly, M.D.

Title

President

Phone

(508) 363-6363

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1780608364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LANTERN RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUITE 535",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6363",
            "fax_number": "508-363-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL D. DONNELLY, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-363-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "56088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Runyan, FNP-BC
• Abbas H. Rupawala, M.D.
• Evan C. Ruppell, D.O.
• Sara Rushia, PHD
• Wayne Rushlow
• Russell Street Dental Associates,LLC
• Tina Russell-Brown, CLINICIAN
• Catherine Russell
• Christine E Russell
• Concetta M Russell, PA

• Specialist in Worcester, MA
• Providers in Worcester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.