Joseph Patrick Donohue, D.C.
Individual provider Active NPI Chiropractor · Wallingford, VT
NPI 1245429059 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1245429059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 006-0001077 (VT)
- Practice address
- 68 South Main St
Wallingford, VT 05773 - Phone
- (802) 446-2499
- Fax
- (802) 446-2508
- NPI assigned
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
68 S Main St
Wallingford, VT 05773-0539
Phone (802) 446-2499
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130326000098 | VT | Practitioner - Chiropractic | 5496919128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006-0001077 | VT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Center of the Green Mountains Inc | Chiropractor | Current |
Accepting new patients |
Locations
68 S Main
Wallingford, VT 05773
Phone (802) 446-2499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 006-0001077 | VT | Yes |
Addresses
Primary practice location
68 South Main St
Wallingford, VT 05773
Mailing address
PO Box 539
68 South Main St.
Wallingford, VT 05773-0539
Phone (802) 446-2499
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49968 | Other | VT | BLUE CROSS BLUE SHIELD |
| 556340 | Other | VT | CIGNA HEALTHCARE |
Other providers in Wallingford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.