NPIMap

Ulrike Shaon Donahue, DO

Individual provider Active NPI Family Medicine Physician · University Park, PA

NPI 1346546090 · NPPES record last updated Aug 22, 2024

Key facts

NPI
1346546090
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
OS015888 (PA)
Practice address
308 Student Health Ctr
University Park, PA 16802-2129
Phone
(814) 865-4847
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015888PAMDFamily Medicine Physician
OT01795PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Ambulance Service Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT01795 PA
Family Medicine Physician 207Q00000X OS015888 PA Yes

Addresses

Primary practice location

308 Student Health Ctr
University Park, PA 16802-2129

Mailing address

103 Heiskel Dr
Port Matilda, PA 16870-7102
Phone (814) 865-4847

Other providers in University Park, PA

All providers in University Park, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.