Peter a Donelan MD PA

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

ME0035372 Issued in FL

Legal business name

PETER A DONELAN MD PA

Practice address

3000 E Fletcher Ave
Suite 200
Tampa, FL 33613-4656

Phone

(813) 972-1229

Fax

(813) 972-1889

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter A Donelan, MD PA

Title

Owner

Phone

(813) 972-1229

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1174702989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-972-1229",
            "fax_number": "813-972-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-972-1229",
            "fax_number": "813-972-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A DONELAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "DONELAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-972-1229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0035372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/RAILROAD",
            "identifier": "070007283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anabel Pesquero Avila
• Camilla Pessoa
• Jaspreet Kaur Pestana, MD
• Pet Rhino Inc
• Brienne Petcher, M.D
• Peter B McKernan MD DDS PA
• Peter J Walton MD PA
• Archana Peter
• Jeanne Peter, CRNP
• Ryan Joseph Peterfy, DO

• Procedural Dermatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.