Michelle Ann McDonnell, PA
Physician Assistant, Medical in Baltimore, MD. Individual provider (NPI-1).
NPI number1619952157
StatusActive
Last updated in NPPESMay 9, 2008
Details
- NPI
- 1619952157
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Ann McDonnell
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2005
- Last updated
- May 9, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | C0001731 | MD | Yes |
Practice location
2434 W Belvedere AveBaltimore, MD 21215-5202
Phone 410-601-2246
Mailing address
2401 W Belvedere AveAttn: Credentialing
Baltimore, MD 21215-5216
Phone 410-601-5524 · Fax 410-601-8946
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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