Individual provider Active NPI

Taylor Abigail Donoho, PA

  • Physician Assistant
  • Seymour, IN
National Provider Identifier
1447894639
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002866A Issued in IN
Practice address
1414 E Tipton St
Seymour, IN 47274-3533
Phone
(812) 405-2039
Fax
(812) 405-2059
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 10002866A IN Primary

Addresses

Primary practice location

1414 E Tipton St
Seymour, IN 47274-3533

Mailing address

1414 E Tipton St
Seymour, IN 47274-3533
Phone (812) 405-2039

Other identifiers 1

IdentifierTypeStateIssuer
01051996AOtherINSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsmyth598648@Direct.FranciscanAlliance.org Direct

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10002866AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Internal Medicine Associates, PC PastSince Nov 3, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: taylor.donoho.1@14940.direct.athenahealth.com
  • Direct secure messaging: tsmyth598648@direct.franciscanalliance.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1447894639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743533",
            "telephone_number": "812-405-2039",
            "fax_number": "812-405-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743533",
            "telephone_number": "812-405-2039",
            "fax_number": "812-405-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHO",
        "first_name": "TAYLOR",
        "middle_name": "ABIGAIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002866A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01051996A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsmyth598648@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "123 2nd St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472016705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.