James B Donahue, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO884 Issued in ME

Practice address

491 US Route 1
Suite 20
Freeport, ME 04032-7022

Phone

(207) 865-2225

Fax

(207) 865-9990

NPI assigned

Jun 6, 2006

Last updated

Apr 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Beacon Hospice, LLC

  dba Beacon Hospice, an Amedisys Company

  • Community Based Hospice Care Agency
  • Auburn, ME
  • NPI 1083798938

  Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Health Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cumberland, ME
  • NPI 1568320505
  NPD
• Coastal Health Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Cumberland, ME
  • NPI 1942168984
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1619916368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1",
            "address_2": "SUITE 20",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-865-2225",
            "fax_number": "207-865-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1",
            "address_2": "SUITE 20",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-865-2225",
            "fax_number": "207-865-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "JAMES",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS NUMBER",
            "identifier": "003982",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "7947889-001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106640000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "4581698",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "98160",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Decarlo, LCSW
• Kaitlyn-Jade Dingley, CNP
• Daniel James Doherty, PT
• Cassandra J Dolby
• Reid Dominie
• Terence Donahue, LCSW
• Carrie Pollard Donoghue, MS, OTR/L
• Carol L Driscoll, LMSW-CC
• Paul Dunton
• Elizabeth Susan Easton, LCSW

• Family Medicine Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.