Active NPI
David Donelson
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1497880991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1686
- Practice address
- 559 Vincent St BLDG 959
Flight Medicine Clinic
Colorado Springs, CO 80914-1541 - Phone
- (719) 556-1260
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1686 | CO | Primary |
Addresses
Primary practice location
559 Vincent St BLDG 959
Flight Medicine Clinic
Colorado Springs, CO 80914-1541
Mailing address
559 Vincent St BLDG 959
Flight Medicine Clinic
Colorado Springs, CO 80914-1541
Phone (719) 556-1260
Other names 1
- David Donelson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1686 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1497880991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 VINCENT ST BLDG 959",
"address_2": "FLIGHT MEDICINE CLINIC",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141541",
"telephone_number": "719-556-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 VINCENT ST BLDG 959",
"address_2": "FLIGHT MEDICINE CLINIC",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809141541",
"telephone_number": "719-556-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONELSON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "DONELSON",
"credential": "PA-C",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.