Individual provider Active NPI

Michael Joseph Donahue, MD

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1558322925
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
018402 Issued in NC
Practice address
6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3161
Phone
(910) 763-1555
Fax
(910) 762-4726
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 018402 NC Primary

Addresses

Primary practice location

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3161

Mailing address

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3161
Phone (910) 763-1555

Other identifiers 4

IdentifierTypeStateIssuer
28815OtherNCBCBS FEDERAL
28815OtherNCBCBS NC
28815OtherNCBCBS STATE
406071393OtherNCRR MEDICARE

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 Medicine

State licenses

LicenseStateTypeSpecialty
18402NCMDPharmacist
018402NCMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: michael.donahue.1@14070.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1558322925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053161",
            "telephone_number": "910-763-1555",
            "fax_number": "910-762-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053161",
            "telephone_number": "910-763-1555",
            "fax_number": "910-762-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "018402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "28815",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "28815",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE",
            "identifier": "28815",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "406071393",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.