ERICA L. O'DONNELL DOPA – NPI #1144333105
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

ERICA L. O'DONNELL DOPA is a provider located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1144333105 to ERICA L. O'DONNELL DOPA on August 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERICA L. O'DONNELL DOPA below.

NPI Profile for
ERICA L. O'DONNELL DOPA

NPI Number
1144333105
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ERICA L. O'DONNELL DOPA
Primary location
1400 HAND AVE
SUITE K
ORMOND BEACH, FL 32174-8194
Phone: (386) 673-0517 Fax: (386) 671-6458
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERICA O'DONNELL
PRESIDENT
Phone: (386) 673-0517
Updated
Identifiers

Identifiers for ERICA L. O'DONNELL DOPA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAFL7512263
OTHERBLUE CROSSFL01768
OTHERTRICARE RAILROADFL80184473
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)		 FL OS7905

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.