JACQUELINE A O'DONNELL M.D. NPI 1225093826

NPI Information

NPI: 1225093826
Provider Name: JACQUELINE A O'DONNELL, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
1801 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-0560
Get Directions

Jacqueline A O'donnell, M.D. is a cardiovascular disease internal medicine in Indianapolis, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jacqueline A O'donnell, M.D. NPI is 1225093826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 N SENATE BLVD
INDIANAPOLIS, IN
ZIP 46202-228
Phone: (317) 962-0560

The enumeration date for this NPI number is 4/18/2006 and was last updated on 4/20/2011.

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	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	01026329A	INDIANA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	01026329A	INDIANA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	01026329	INDIANA	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	060066278	OTHER	INDIANA	RAILROAD MEDICARE
2	D94977	MEDICARE UPIN	INDIANA
3	264910F5	MEDICARE PIN	INDIANA
4	100065910	MEDICAID	INDIANA

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: 4/28/2024

NPI Synchronization or Removal

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