MARK E DONNELLY M.D.
NPI 1902802192
Specialist in Flagstaff, AZ

Q: What is Mark Donnelly's NPI number?

The NPI number for Mark Donnelly is 1902802192. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Mark Donnelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Donnelly was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 22, 2005

1215 N BEAVER ST, STE 202, FLAGSTAFF, AZ 86001(928) 773-2200(928) 773-2201 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark E Donnelly M.d. NPPES

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

MARK E DONNELLY M.D. (NPI 1902802192) is an individual specialist in Flagstaff, Arizona, licensed in Arizona (18917) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1902802192

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMARK E DONNELLYCredential: M.D.

Location Address1215 N BEAVER ST, STE 202Flagstaff, AZ 86001-3126

Mailing Address1200 N Beaver St, Payer CredentialingFlagstaff, AZ 86001-3118 · (928) 773-2559 · Fax (928) 213-6292

Phone(928) 773-2200

Fax(928) 773-2201

Sole ProprietorNo

Enumeration DateJune 22, 2005

Last NPPES UpdateMarch 14, 2017

✔ NPI 1902802192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 18917

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1215 N BEAVER ST, Flagstaff, AZ 86001

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Other Identifiers 4

Medicaid286874AZ

Medicare PINZ90823AZ

OtherP01112889AZ · Railroad Medicare

Medicare UPINB00109AZ

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.

DR. JAMES MALCOLM GALLOWAY MD

Internal Medicine

1215 N BEAVER ST, SUITE 201
FLAGSTAFF, AZ 86001

Coconino County (028) 214-3920

ANGELA HANSEN RD, IBCLC

Dietitian, Registered

1215 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2200

DR. JOHN BLANCHARD MARTIN PH.D

Psychologist (Clinical)

1215 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2200

DR. MEAGHAN ELIZABETH RALPH DPT

Physical Therapist

1215 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2125

WILLIAM DREXLER

Physical Therapist

1215 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2125

MARK F CARROLL MD

Pediatrics

1215 N BEAVER ST, SUITE 201
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3920

NICOLE RENEE SYDOW M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1215 N BEAVER ST, SUITE 203
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2150

DR. TIM BUSCHMANN

Psychologist

1215 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 213-6415

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 Mark Donnelly's NPI number?

The NPI number for Mark Donnelly is 1902802192. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Mark Donnelly located?

Mark Donnelly practices at 1215 N Beaver St Ste 202, Flagstaff, AZ 86001. The listed phone number is (928) 773-2200.

What is Mark Donnelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Donnelly was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.