Robert Donovan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35045375 Issued in OH

Practice address

40 E McMicken Ave
Cincinnati, OH 45202-6549

Phone

(513) 352-6364

Fax

(513) 352-6379

NPI assigned

Jul 14, 2006

Last updated

Apr 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Interoperability endpoints

• Direct secure messaging: robert.donovan.1@15958.direct.athenahealth.com

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1326064205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192426",
            "telephone_number": "513-961-0600",
            "fax_number": "513-961-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MCMICKEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452026549",
            "telephone_number": "513-352-6364",
            "fax_number": "513-352-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35045375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668924",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Donovan, MD
• James R Donovan, M.D.
• Jamie Lynn Donovan
• Katherine Donovan
• Lauren Donovan
• Stuart Lee Donovan, M.D.
• Verna Donovan
• Katheleen Doogan, PTA
• Elizabeth A Dool, MA, CCC-SLP
• Ashley C Dooley, LPCC-S

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.