Susan O'Donnell in Ste Genevieve - Family Medicine

Susan O'Donnell - NPI 1720051162

Susan O'Donnell is a Family Medicine in Ste Genevieve, Missouri. Susan O'Donnell practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan O'Donnell is 1720051162. The last update date is 2007-10-17.

Susan O'Donnell's current location address is 930 Park Dr, Ste Genevieve, Missouri. You can contact this provider via phone number 5738837424. The mailing address for Susan O'Donnell is 930 Park Dr, Ste Genevieve, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan O'Donnell
Address 930 Park Dr, Ste Genevieve, Missouri
Phone Number 5738837424
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720051162
Provider Enumeration Date 2006-02-08
Last Updated Date 2007-10-17

Provider Mailing Address Detail

Address 930 Park Dr
City Ste Genevieve
State Missouri (MO)
Post Code 636701539
Phone Number 5738837424
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 103143
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
450335 MO UHC
52598 MO GHP
193294 MO HEALTHLINK
52598 MO HEALTHCARE USA
20588 MO BCBS
E54304 MO MERCY HEALTH PLAN
999553 MO COMMUNITY CARE PLUS

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FAQs about Susan O'Donnell

What is the unique 10-digit identification code assigned to Susan O'Donnell by the Centers for Medicare & Medicaid Services?

The Susan O'Donnell has been issued the NPI (National Provider Identifier) 1720051162, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Susan O'Donnell is physically located?

The Susan O'Donnell is situated at the following address: 930 Park Dr, Ste Genevieve, MO 636701539.

What is Susan O'Donnell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Susan O'Donnell is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date was the 1720051162 assigned to Susan O'Donnell?

The Susan O'Donnell was issued its 1720051162 on 2006-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Susan O'Donnell most recently updated or revised?

The information pertaining to Susan O'Donnell, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-17.

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