NPIMap

Individual provider Active NPI

Donna C Iddings, PA-C

  • Surgical Physician Assistant
  • Fall River, MA
National Provider Identifier
1396742649
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00207 Issued in RI
Practice address
300 Hanover Street
Suite 2a
Fall River, MA 02720
Phone
(508) 679-7774
Fax
(508) 679-7724
NPI assigned
Jul 1, 2005
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA739 MA
Surgical Physician Assistant 363AS0400X PA00207 RI Primary

Addresses

Primary practice location

300 Hanover Street
Suite 2a
Fall River, MA 02720

Mailing address

200 Mill Rd
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-7585

Other identifiers 3

IdentifierTypeStateIssuer
0000030813OtherPRRI BC/BS
410229OtherRIRI BL;UE CHIP
RI00039MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080423000351 RI Practitioner - Physician Assistant 4981782513 Reassigns benefits to 4 organizations
I20250926003004 MN Practitioner - Physician Assistant 4981782513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Rhode Island HospitalGroup PAC ID 8921900044, 430 clinicians

Practice addresses (Care Compare)

1011 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7000

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860

593 Eddy St
Providence, RI 02903-4923

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5439

920 E 1St St
Duluth, MN 55805-2225

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA739MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Sep 1, 2025 Accepting new patients
Rhode Island Hospital CurrentSince Sep 3, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 29, 2015 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 29, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 29, 2020 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 29, 2015 Accepting new patients
Rhode Island Hospital CurrentSince Sep 3, 2020 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Sep 1, 2025 Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

300 Hanover St
Ste 2A
Fall River, MA 02720
Phone (508) 973-7774

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

2 Dudley St
Ste 360
Providence, RI 02905
Phone (401) 274-7546

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Interoperability endpoints

  • Direct secure messaging: didings381420@direct.aspirus.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1396742649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER STREET",
            "address_2": "SUITE 2A",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02720",
            "telephone_number": "508-679-7774",
            "fax_number": "508-679-7724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-7585",
            "fax_number": "401-444-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDDINGS",
        "first_name": "DONNA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA739",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BC/BS",
            "identifier": "0000030813",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BL;UE CHIP",
            "identifier": "410229",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RI00039",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.