=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518980820
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRIS THOMAS O'DONNELL M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2006
-----------------------------------------------------
Last Update Date | 01/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1099 OHIO RIVER BLVD
-----------------------------------------------------
City | SEWICKLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15143-2056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-741-7440
-----------------------------------------------------
Fax | 741-741-7118
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1099 OHIO RIVER BOULEVARD
-----------------------------------------------------
City | SEWICKLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15143-2056
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-741-7440
-----------------------------------------------------
Fax | 412-741-7118
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | MD032876E
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------