IndividualActive
Mark Donnelly, M.D.
NPI 1902802192 · Specialist · Flagstaff, AZ
Provider details
- NPI number
- 1902802192
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 18917 (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1215 N Beaver St
Ste 202
Flagstaff, AZ 86001-3126
Phone: (928) 773-2200
Fax: (928) 773-2201
Street-level locationGet directions
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2017-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.