Organization Active NPI

Susan M. Donahue, D.C., LTD.

  • Chiropractor
  • North Smithfield, RI
National Provider Identifier
1144637745
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
RIDCP00516 Issued in RI
Legal business name
SUSAN M. DONAHUE, D.C., LTD.
Practice address
63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone
(401) 356-4606
Fax
(401) 356-4607
NPI assigned
Jul 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Susan M. Donahue, D.C.NPI 1174612501
Title
President
Phone
(401) 356-4606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X RIDCP00516 RI Primary

Addresses

Primary practice location

63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322

Mailing address

63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone (401) 356-4606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602000490 RI Part B Supplier - Clinic/Group Practice 0244273100 Receives reassigned benefits from 1 practitioner
Practice locations: North Smithfield, RI

National Provider Directory

National Provider Directory

Locations

63 Eddie Dowling Hwy
Ste 4
North Smithfield, RI 02896
Phone (401) 300-5756

206 Gano St
Providence, RI 02906
Phone (401) 383-8400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1144637745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-356-4606",
            "fax_number": "401-356-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "401-356-4606",
            "fax_number": "401-356-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. DONAHUE, D.C., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-356-4606",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "RIDCP00516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.