Timothy F. O'Donnell, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0000513 Issued in MD

Practice address

515 Fairmount Ave Ste 500
Towson, MD 21286-5466

Phone

(410) 494-1662

Fax

(410) 494-1718

NPI assigned

Jul 11, 2006

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: todonnell77416@direct.mdmercy.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.

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871528919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-494-7920",
            "fax_number": "410-902-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 500",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1662",
            "fax_number": "410-494-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "TIMOTHY",
        "middle_name": "F.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0000513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Joseph O'Brien
• Terry L. O'Brien, ATC
• Andrea Michelle O'Connor, CRNP
• Clancy O'Connor, RD
• Lori O'Connor, ARNP
• Richard Arthur O'Malley, M.D.
• Jan O'Neill, SLP
• Oak Farm Solutions LLC Dba Avila Home Care (Avila Home Care)
• Jessica Oakley
• OB-GYN Specialists of Maryland, LLC

• Medical Physician Assistant in Towson, MD
• Providers in Towson, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.