Provider Demographics
NPI:1134199300
Name:MCNEIL, DONALD L (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:L
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8080 RAVINES EDGE CT
Mailing Address - Street 2:200
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235
Mailing Address - Country:US
Mailing Address - Phone:614-430-3030
Mailing Address - Fax:855-656-7325
Practice Address - Street 1:8080 RAVINES EDGE CT
Practice Address - Street 2:200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5424
Practice Address - Country:US
Practice Address - Phone:614-430-3030
Practice Address - Fax:855-656-7325
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-05-4381207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0669889Medicaid
OH0669889Medicaid
OHMC0589365Medicare PIN