Provider Demographics
NPI:1760411052
Name:MCDONNELL, FRANCIS J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:MCDONNELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 PROFESSIONAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8018
Mailing Address - Country:US
Mailing Address - Phone:812-477-7246
Mailing Address - Fax:812-473-5822
Practice Address - Street 1:1101 PROFESSIONAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-8018
Practice Address - Country:US
Practice Address - Phone:812-477-7246
Practice Address - Fax:812-473-5822
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054283A207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64249600Medicaid
IN000000506644OtherANTHEM
IN200360220Medicaid
IN200360220Medicaid
KY64249600Medicaid
IN234380IMedicare PIN
IN637120NMedicare PIN
INC66138Medicare UPIN