John Donovan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

46890 Issued in FL

Practice address

201 Plantation Club Dr Apt 1012
Melbourne, FL 32940-1932

Phone

(321) 752-6103

NPI assigned

Mar 28, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Andre Vendryes MD PA

  • Family Medicine Physician
  • Vero Beach, FL
  • NPI 1376561886
  NPD (past)
• Donald J. Morris, M.D., PA

  • Family Medicine Physician
  • Vero Beach, FL
  • NPI 1225062821
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659490712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PLANTATION CLUB DR APT 1012",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PLANTATION CLUB DR APT 1012",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401932",
            "telephone_number": "321-752-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "46890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Marie Donaldson, PH.D.
• Michael Alan Donato
• Kristen Colleen Donesec, PA-C
• Donna J. Badolato, MD, PA
• Kaitlin Shiver Donner
• Brianna Doran
• Pamela Dorman
• Stephanie L Dorsey, APRN
• Deborah Lynn Doswell H
• Alisha Dotson, PA-C

• General Practice Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.