DR. MATTHEW C MCDONNELL, M.D. - NPI NUMBER 1841291507

Summary

Provider Name: DR. MATTHEW C MCDONNELL, M.D.

NPI Number: 1841291507

Clasification: Otolaryngology (207Y00000X)

Organization: THE CLEVELAND CLINIC FOUNDATION

Address:
970 EAST WASHINGTON STREET
SUITE 6A
MEDINA, OH
ZIP 44256

Phone Number: (330) 723-6673



Detailed Information

DR. Matthew C Mcdonnell, M.D. is an otolaryngologist in Medina, OH with 28 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. The assigned NPI number for this provider is 1841291507 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF OHIO AT TOLEDO
Graduation Year: 1986

The provider's business address is:

970 EAST WASHINGTON STREET
SUITE 6A
MEDINA, OH
ZIP 44256
Phone: (330) 723-6673
Fax: (330) 764-9832

The enumeration date for this NPI number is 8/3/2005 and was last updated on 3/12/2012.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1902039050 UNIVERSITY HOSPITALS MEDICAL GROUP, INC.
Otolaryngology

Taxonomy Codes

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 207Y00000X Otolaryngology 35059577 OH No
2 207Y00000X Otolaryngology 35-05-9577 OH Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 E92009 MEDICARE UPIN OH
2 0828886 MEDICAID OH
3 MC4038063 MEDICARE PIN OH

NPI Record

No. Field Name Field Value
1 NPI 1841291507
2 Entity Type Code 1
3 Provider Last Name Legal Name MCDONNELL
4 Provider First Name MATTHEW
5 Provider Middle Name C
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 970 EAST WASHINGTON STREET
9 Provider Second Line Business Practice Location Address SUITE 6A
10 Provider Business Practice Location Address City Name MEDINA
11 Provider Business Practice Location Address State Name OH
12 Provider Business Practice Location Address Postal Code 44256
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 3307236673
15 Provider Business Practice Location Address Fax Number 3307649832
16 Provider Enumeration Date 8/3/2005
17 Last Update Date 3/12/2012
18 Provider Gender Code M
19 Healthcare Provider Taxonomy Code 1 207Y00000X
20 Provider License Number 1 35059577
21 Provider License Number State Code 1 OH
22 Healthcare Provider Primary Taxonomy Switch 1 N
23 Healthcare Provider Taxonomy Code 2 207Y00000X
24 Provider License Number 2 35-05-9577
25 Provider License Number State Code 2 OH
26 Healthcare Provider Primary Taxonomy Switch 2 Y
27 Other Provider Identifier 1 E92009
28 Other Provider Identifier Type Code 1 02
29 Other Provider Identifier State 1 OH
30 Other Provider Identifier 2 0828886
31 Other Provider Identifier Type Code 2 05
32 Other Provider Identifier State 2 OH
33 Other Provider Identifier 3 MC4038063
34 Other Provider Identifier Type Code 3 08
35 Other Provider Identifier State 3 OH
36 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
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.