Individual provider Active NPI

Dona Dunkin-Alba, DO

  • Family Medicine Physician
  • Logan, OH
National Provider Identifier
1164458295
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-006481 Issued in OH
Practice address
751 State Route 664 N
Logan, OH 43138-9250
Phone
(740) 385-0202
Fax
(740) 385-0505
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016681 MI
Family Medicine Physician 207Q00000X 34-006481 OH Primary

Addresses

Primary practice location

751 State Route 664 N
Logan, OH 43138-9250

Mailing address

PO Box 228
Logan, OH 43138-0228
Phone (740) 385-0202

Other identifiers 2

IdentifierTypeStateIssuer
114849101MedicaidMI
0312594MedicaidOH

Other names 1

  • Dona Rae Dunkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060124000781 MI Practitioner - Family Practice 1052221710
I20250731004761 TX Practitioner - Family Practice 1052221710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2987WVMDGeneral Practice Dentistry
34-006481OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians CurrentSince May 24, 2025 Accepting new patients
Hopewell Health Centers, Inc. Past Accepting new patients
Provemont Family Care, PLC Family Medicine PastSince Aug 6, 2007 Accepting new patients
Creekside Clinic, LLC Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Pinnacle Treatment Centers Oh-IX, LLC Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Hocking Valley Medical Group Transportation PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1164458295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380228",
            "telephone_number": "740-385-0202",
            "fax_number": "740-385-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389250",
            "telephone_number": "740-385-0202",
            "fax_number": "740-385-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKIN-ALBA",
        "first_name": "DONA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-006481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114849101",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONA",
            "last_name": "DUNKIN",
            "middle_name": "RAE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.