NPIMap

Organization Active NPI

Luis E. Donayre, M.D., P.a.

  • Surgery Physician
  • Whiteville, NC
National Provider Identifier
1336181510
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15749 Issued in NC
Legal business name
LUIS E. DONAYRE, M.D., P.A.
Practice address
711 N Franklin St
Whiteville, NC 28472-3412
Phone
(910) 642-3136
Fax
(910) 642-3137
NPI assigned
Jun 12, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Luis Ernesto Donayre, M.D.
Title
President
Phone
(910) 642-3136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 15749 NC Primary

Addresses

Primary practice location

711 N Franklin St
Whiteville, NC 28472-3412

Mailing address

711 N Franklin St
Whiteville, NC 28472-3412
Phone (910) 642-3136

Other identifiers 3

IdentifierTypeStateIssuer
011KUOtherBCBS GROUP PROVIDER NUMBE
28830OtherBCBS INDIVIDUAL PROVIDER
8928830MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1336181510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N FRANKLIN ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723412",
            "telephone_number": "910-642-3136",
            "fax_number": "910-642-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N FRANKLIN ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723412",
            "telephone_number": "910-642-3136",
            "fax_number": "910-642-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E. DONAYRE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DONAYRE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-642-3136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "15749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "011KU",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "28830",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.