Active NPI
John N Odonnell, MD
- Anatomic Pathology & Clinical Pathology Physician
- Reno, NV
National Provider Identifier
1801839956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 3177
- Practice address
- 77 Pringle Way
Washoe Medical Center
Reno, NV 89502 - Phone
- (775) 334-3450
- Fax
- (775) 334-3417
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00031889 | WA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G25545 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 3177 | NV | Primary |
Addresses
Primary practice location
77 Pringle Way
Washoe Medical Center
Reno, NV 89502
Mailing address
PO Box 3947
Reno, NV 89505-3947
Phone (775) 334-3450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XPY144570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25545 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD00031889 | WA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801839956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3947",
"city": "RENO",
"state": "NV",
"postal_code": "895053947",
"telephone_number": "775-334-3450",
"fax_number": "775-334-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 PRINGLE WAY",
"address_2": "WASHOE MEDICAL CENTER",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-334-3450",
"fax_number": "775-334-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODONNELL",
"first_name": "JOHN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00031889",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G25545",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "3177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY144570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.