Organization Active NPI

Chris T. O'Donnell M.D., PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Sewickley, PA
National Provider Identifier
1811168180
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
CHRIS T. O'DONNELL M.D., PC
Practice address
1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone
(412) 741-7440
Fax
(412) 741-7118
NPI assigned
Mar 14, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Chris T. O'Donnell, MDNPI 1518980820
Title
Office Manager
Phone
(412) 741-7440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1099 Ohio River Blvd
Sewickley, PA 15143-2056

Mailing address

1099 Ohio River Blvd
Sewickley, PA 15143-2056
Phone (412) 741-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000228 PA Part B Supplier - Clinic/Group Practice 4587734116 Receives reassigned benefits from 2 practitioners
Practice locations: Sewickley, PA

National Provider Directory

National Provider Directory

Locations

1000 Masonic Dr
Sewickley, PA 15143
Phone (412) 259-5060

1000 Masonic Dr
Ofc
Sewickley, PA 15143
Phone (412) 749-9035

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1811168180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-7440",
            "fax_number": "412-741-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 OHIO RIVER BLVD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151432056",
            "telephone_number": "412-741-7440",
            "fax_number": "412-741-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS T. O'DONNELL M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "412-741-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.