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Deactivated NPI 1285062240 Deactivated / Inactive NPI Female Practitioner

Ellen O'donnell

Contractor • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen O'donnell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 29, 2013
NPI Deactivation Date October 06, 2023
Total Practice Duration ~10 Years of Practice (2013 – 2023)

Professional Overview & Biography Verified Profile Summary

Ellen O'Donnell was a registered Contractor practicing in Tucson, AZ. Throughout an active medical career spanning 10 years, Ellen O'Donnell provided care at the practice location at 600 E CAMINO LUJOSA until profile deactivation on 2023-10-06.

Practice Location & Contact Primary Location

Practice Address

600 E Camino Lujosa

Tucson, AZ 857045806

Telephone 5202476084
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
109 Specialists

Practicing in Tucson, AZ (348 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License AZ 9662

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2023

Record deactivated on October 06, 2023

NPI Profile Active October 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2013

Registered at 600 E CAMINO LUJOSA, TUCSON, AZ 857045806 (Tel: 5202476084)

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Updated Business Mailing Address October 29, 2013

Registered at 994 S HARRISON RD, TUCSON, AZ 857486608 (Tel: 5207211887)

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Provider Name / Credentials Updated October 29, 2013

Recorded as ELLEN O'DONNELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2013

Contractor (License #9662 in AZ)

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Initial NPI Registration & Enumeration October 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285062240
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2013
Last Update: October 29, 2013
Deactivation Date: October 06, 2023

Mailing Address

994 S Harrison Rd

Tucson, AZ 857486608

Phone: 5207211887

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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