Active NPI
James L Donahue, M.D.
- Internal Medicine Physician
- Jackson, MI
National Provider Identifier
1295753556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34579
- Practice address
- 813 W Michigan Ave
Allegiance Senior Health Center
Jackson, MI 49202-4158 - Phone
- (517) 787-6001
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34579 | IA | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 34579 | IA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301093611 | MI |
Addresses
Primary practice location
813 W Michigan Ave
Allegiance Senior Health Center
Jackson, MI 49202-4158
Mailing address
PO Box 67000
Dept. 272801
Detroit, MI 48267-0002
Phone (517) 841-7490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34579 | IA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1295753556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPT. 272801",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670002",
"telephone_number": "517-841-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W MICHIGAN AVE",
"address_2": "ALLEGIANCE SENIOR HEALTH CENTER",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024158",
"telephone_number": "517-787-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "34579",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "IA",
"license": "34579",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301093611",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.