MAX ROE O'DONNELL MD NPI 1093773194

NPI Information

NPI: 1093773194
Provider Name: MAX ROE O'DONNELL, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK

PECOS Registration: Yes

Address:
622 W 168TH ST
PH 8 -101
NEW YORK, NY
ZIP 10032
Phone: (212) 305-9819
Get Directions

Max Roe O'donnell, MD is a critical care medicine internal medicine in New York, NY with 21 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Max Roe O'donnell, MD NPI is 1093773194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

622 W 168TH ST
PH 8 -101
NEW YORK, NY
ZIP 10032-720
Phone: (212) 305-9819

The NPI 1093773194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 5/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	235535	NEW YORK	No
2	207R00000X	Internal Medicine		235535	NEW YORK	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	235535	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00235535	MEDICAID	NEW YORK
2	A400101573	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »