Active NPI
James Donovan, MD
- Urology Physician
- Cincinnati, OH
National Provider Identifier
1629045893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35-083665
- Practice address
- 222 Piedmont Ave
Ste. 7000
Cincinnati, OH 45219-4231 - Phone
- (513) 475-8787
- Fax
- (513) 475-7348
- NPI assigned
- Mar 7, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35-083665 | OH | Primary |
Addresses
Primary practice location
222 Piedmont Ave
Ste. 7000
Cincinnati, OH 45219-4231
Mailing address
PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2449121 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-083665 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Oklahoma | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Midwest City, OK
- NPI 1154636595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1629045893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5506",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PIEDMONT AVE",
"address_2": "STE. 7000",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452194231",
"telephone_number": "513-475-8787",
"fax_number": "513-475-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35-083665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2449121",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.