Jennifer Donahue, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

038925 Issued in CT

Practice address

85 Poheganut Dr
Groton, CT 06340-3216

Phone

(860) 448-6303

Fax

(860) 448-9678

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.donahue.npi1275647448.phpct@direct.optumcare.masshiway.net

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  Medicare reassignment NPD
• Prohealth Physicians PC

  • Diagnostic Radiology Physician
  • Farmington, CT
  • NPI 1912175639
  NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275647448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403216",
            "telephone_number": "860-448-6303",
            "fax_number": "860-448-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 POHEGANUT DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063403216",
            "telephone_number": "860-448-6303",
            "fax_number": "860-448-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "038925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Imaging Services of CT, LLC
• Randall Frederick Dierking Jr., IDC
• Steven Jay Difilippo, LCSW
• Anthony A Dilullo, MD
• Amanda Kathleen Dobyns, OT
• Emma Donnell, PHARMD, RPH
• Alison Doolittle, BA, MSW INTERN
• F. Henry Doran, D.MIN, LPC
• Michael Paul Dorris
• John William Dorunda, M.D.

• Family Medicine Physician in Groton, CT
• Providers in Groton, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.