Provider Demographics
NPI:1356978332
Name:O'DONNELL, CONOR PATRICK (DO)
Entity type:Individual
Prefix:DR
First Name:CONOR
Middle Name:PATRICK
Last Name:O'DONNELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 HAYMAKER ROAD
Mailing Address - Street 2:POB 2, SUITE 302
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3500
Mailing Address - Country:US
Mailing Address - Phone:412-858-3017
Mailing Address - Fax:412-856-5871
Practice Address - Street 1:2580 HAYMAKER ROAD
Practice Address - Street 2:POB 2, SUITE 302
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3500
Practice Address - Country:US
Practice Address - Phone:412-858-3017
Practice Address - Fax:412-856-5871
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT022943207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology