MR. TIMOTHY DENNIS O'DONNELL PA
NPI 1639197734
Physician Assistant in Bay Shore, NY

Active since July 17, 2006
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Dennis O'donnell Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY DENNIS O'DONNELL PA (NPI 1639197734) is an individual physician assistant in Bay Shore, New York, licensed in New York (006615) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1639197734
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY DENNIS O'DONNELLCredential: PA
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3000
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1639197734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 006615
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 E MAIN ST, Bay Shore, NY 11706

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy O'donnell's NPI number?

The NPI number for Timothy O'donnell is 1639197734. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Timothy O'donnell located?

Timothy O'donnell practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.

What is Timothy O'donnell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy O'donnell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.