MEDICARE: ERIN PATRICIA O'DONNELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	73448	WI
2	208000000X	Pediatrics Physician	D83332	MD
3	208000000X	Pediatrics Physician	35.147934	OH
4	208M00000X	Hospitalist Physician	D83332	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346660917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN PATRICIA O'DONNELL M.D.

Provider Business Mailing Address
First Line	:	740 W GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-6002
Country	:	US
Telephone Number	:	513-246-7000
Fax Number	:	513-522-6147

Provider Business Practice Location Address
First Line	:	740 W GALBRAITH RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-6002
Country	:	US
Telephone Number	:	513-246-7000
Fax Number	:	513-522-6147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	07/13/2023

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Directions to “ ERIN PATRICIA O'DONNELL M.D.” Practice Location

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