NPIMap

Organization Active NPI

G Patrick O'Donnell M.D.

  • Primary Care Clinic/Center
  • Chesterfield, MO
National Provider Identifier
1811160914
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MDR5B99 Issued in MO
Legal business name
G PATRICK O'DONNELL M.D.
Practice address
15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0710
Phone
(636) 537-2702
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Glenn Patrick O'Donnell, M.D.
Title
Owner
Phone
(636) 537-2702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MDR5B99 MO Primary

Addresses

Primary practice location

15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0710

Mailing address

15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0710
Phone (636) 537-2702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1811160914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 115",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-537-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 115",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170710",
            "telephone_number": "636-537-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G PATRICK O'DONNELL M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-537-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "MDR5B99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.