Individual provider Active NPI

Susan M. Donahue, D.C.

  • Chiropractor
  • North Smithfield, RI
National Provider Identifier
1174612501
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00516 Issued in RI
Practice address
63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone
(401) 356-4606
Fax
(401) 356-4607
NPI assigned
Oct 12, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00516 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
I20050930000744 RI Practitioner - Chiropractic 6406899376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 Eddie Dowling Hwy 4
North Smithfield, RI 02896-7322
Phone (401) 356-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP00516RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Susan M. Donahue, D.C., LTD. Chiropractor CurrentSince Jun 2, 2005 Accepting new patients
The Orthotic and Prosthetic Centers, LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

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

63 Park Sq
North Smithfield, RI 02896
Phone (401) 333-8090

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1174612501",
    "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": {
        "last_name": "DONAHUE",
        "first_name": "SUSAN",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00516",
            "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 Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.