Mary K Donigan, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

23001421A Issued in IN

Practice address

6301 University Commons
Suite 360
South Bend, IN 46635-1571

Phone

(574) 232-4800

Fax

(574) 280-4810

NPI assigned

Dec 21, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Otorhinolaryngology, Inc

  • Specialist
  • South Bend, IN
  • NPI 1942246822
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1386708477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS",
            "address_2": "SUITE 360",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351571",
            "telephone_number": "574-232-4800",
            "fax_number": "574-280-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS",
            "address_2": "SUITE 360",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351571",
            "telephone_number": "574-232-4800",
            "fax_number": "574-280-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONIGAN",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IN",
            "license": "23001421A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100338000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000085508",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy Dodd, LPN
• Marilyn Marie Dodd, MHC
• Amanda Rose Doeden, FNP-BC
• Donald D McGowan, DPM
• Willie Lee Donald, M.D.
• Rita Donley, PH.D.
• Amanda Keri Dorman, MA, BCBA
• Douglas J Kosek D.D.S., P.C.
• Douglas J Kosek DDS PC
• David Wood Douglas, D.D.S.

• Audiologist-Hearing Aid Fitter in South Bend, IN
• Providers in South Bend, IN by specialty
• Audiologist-Hearing Aid Fitter in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.