Active NPI
Michael Anthony Donegan, D.O.
- Emergency Medicine Physician
- Lewisburg, PA
National Provider Identifier
1508887209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS005304L
- Practice address
- 1 Hospital Dr
Lewisburg, PA 17837-9350 - Phone
- (570) 522-4110
- Fax
- (570) 768-3911
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS005304L | PA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Lewisburg, PA 17837-9350
Mailing address
1 Hospital Dr Ste 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1835302 | Other | PA | CAPITAL BLUE CROSS |
| 15409930002 | Medicaid | PA | |
| 456146 | Other | PA | BLUE SHIELD |
| 930026665 | Other | PA | RAILROAD MEDICARE |
| 232809429 | Other | PA | TRICARE |
| 321845 | Other | PA | HEALTH AMERICA |
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
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1508887209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR STE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4110",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4110",
"fax_number": "570-768-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEGAN",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS005304L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "1835302",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15409930002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "456146",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "930026665",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "232809429",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "321845",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.