Organization Active NPI

Corbyons & Donohoe Surgical Associates MD PA

  • Specialist
  • Deland, FL
National Provider Identifier
1073696183
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CORBYONS & DONOHOE SURGICAL ASSOCIATES MD PA
Practice address
685 Peachwood Dr
Deland, FL 32720-0804
Phone
(386) 738-5300
Fax
(386) 738-9537
NPI assigned
Oct 23, 2006
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lois Donohoe
Title
Office Manager
Phone
(386) 738-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

685 Peachwood Dr
Deland, FL 32720-0804

Mailing address

685 Peachwood Dr
Deland, FL 32720-0804
Phone (386) 738-5300

Other identifiers 2

IdentifierTypeStateIssuer
33571OtherFLGROUP BC/BS
379920400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1073696183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 PEACHWOOD DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200804",
            "telephone_number": "386-738-5300",
            "fax_number": "386-738-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PEACHWOOD DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200804",
            "telephone_number": "386-738-5300",
            "fax_number": "386-738-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBYONS & DONOHOE SURGICAL ASSOCIATES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "DONOHOE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-738-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BC/BS",
            "identifier": "33571",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379920400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.