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Contact Information

TIMOTHY P ODONNELL, MD
3600 KOLBE RD STE 205
LORAIN, OH44053
 Phone: 440-960-6431
 Fax: 440-960-6435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY P ODONNELL · (Male)

NPI # 1760485510
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 10/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35082804
  • OH Medicaid 2435958
Hospital affiliation(s)
  • MERCY REGIONAL MEDICAL CENTER - (Acute Care)
    3700 KOLBE ROAD
    LORAIN, OH 44053
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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