Individual provider Active NPI

William Michael Donovan

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
National Provider Identifier
1477677201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
90655 Issued in SC
Practice address
9326 Medical Plaza Dr Ste B
Charleston, SC 29406-9138
Phone
(843) 553-7070
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 90655 SC Primary

Addresses

Primary practice location

9326 Medical Plaza Dr Ste B
Charleston, SC 29406-9138

Mailing address

9326 Medical Plaza Dr Ste B
Charleston, SC 29406-9138
Phone (843) 553-7070

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
90655SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Anesthesia Specialists LLC Past Accepting new patients
Trident Anesthesia Group, LLC Past Accepting new patients
Anesthesia Works LLC Past Accepting new patients
Mobile Anesthesia, LLC Past Accepting new patients
Oconee Medical Center Past Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Apollomd Group Services, LLC Past Accepting new patients

Organizations & group practices 7

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477677201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-553-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9326 MEDICAL PLAZA DR STE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069138",
            "telephone_number": "843-553-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "90655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.