Donohoo Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DONOHOO PRIMARY CARE LLC

Practice address

5160 State Route 125
Georgetown, OH 45121-9518

Phone

(937) 213-1092

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Venita C Milburn, BS, CMM, RMA, SWA

Title

Practice Manager

Phone

(513) 304-2523

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Donohoo, MD

  • Family Medicine Physician
  • Georgetown, OH
  • NPI 1770671232
  Medicare reassignment NPD

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1528628773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 FOX RUN RD",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451218414",
            "telephone_number": "937-213-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 STATE ROUTE 125",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219518",
            "telephone_number": "937-213-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONOHOO PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "VENITA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-304-2523",
        "authorized_official_credential": "BS, CMM, RMA, SWA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Delong, LICDC/LSW
• Kolika Dewar, LPN
• Chelsey Dikeman, PT, DPT
• Dipika J Shah, M D Inc
• Donohoo Pharmacy Inc
• Jeffrey Donohoo, MD
• Olivia G Dornbusch
• April Dotson, LPN
• Elizabeth Drake
• Carolyn Elliott

• Family Medicine Physician in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.