Dr. Russell D Donnelly, MD
Orthopaedic Surgery in Southbridge, Massachusetts
1780672105- Practice location
- 94 South St, Southbridge, MA 01550-4000
- Phone
- 508-764-2772
- Fax
- 508-764-2833
- Last updated
- December 18, 2020
Russell D Donnelly is an Orthopaedic Surgery based in Southbridge, MA. Russell D Donnelly practices in Southbridge, MA and has the professional credentials of MD. The NPI Number for Russell D Donnelly is 1780672105 and holds a License No. LT-3003 (NH). The current practice location address for Russell D Donnelly is 94 South St, Southbridge, MA 01550-4000 and can be reached out via phone at 508-764-2772 and via fax at 508-764-2833.
Provider Profile Details
- NPI Number
- 1780672105
- Provider Name
- Russell D Donnelly
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 94 South St, Southbridge, MA 01550-4000
- Phone Number
- 508-764-2772
- Fax Number
- 508-764-2833
- Primary Taxonomy
- Orthopaedic Surgery · 207X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2005
- Last Update Date
- December 18, 2020
- Certification Date
- December 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 94 South St
Southbridge, MA 01550-4000 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4000
- Phone Number
- 508-764-2772
- Fax Number
- 508-764-2833
Provider Business Mailing Address Details
- Address
- Po Box 40
Southbridge, MA 01550-0040 - City
- Southbridge
- State
- MA
- Zip
- 01550-0040
- Phone Number
- 508-909-7799
- Fax Number
- 508-764-2432
License Information
- License Number (1)
- LT-3003
- License State (1)
- NH
- Taxonomy (1)
- Orthopaedic Surgery · 207X00000X
- License Number (2)
- MD19308
- License State (2)
- ME
- Taxonomy (2)
- Orthopaedic Surgery · 207X00000X
- License Number (3)
- 56088
- License State (3)
- MA
- Taxonomy (3)
- Orthopaedic Surgery · 207X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Orthopaedic Surgery providers near Southbridge, MA
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Frequently Asked Questions
What is the NPI number of Dr. Russell D Donnelly, MD?
The NPI number of Dr. Russell D Donnelly, MD is 1780672105. It was assigned on October 10, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Russell D Donnelly, MD?
Dr. Russell D Donnelly, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NH under license number LT-3003.
Where does Dr. Russell D Donnelly, MD practice?
The practice location is 94 South St, Southbridge, MA 01550-4000. The office can be reached at 508-764-2772 (phone) or 508-764-2833 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780672105 directly on the NPPES registry website.