John M Donovan, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

17910 Issued in NE

Practice address

3243 E Murdock St Ste 500
Wichita, KS 67208

Phone

(316) 962-2080

Fax

(316) 962-2079

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1679565337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083007",
            "telephone_number": "316-962-2080",
            "fax_number": "316-962-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 E MURDOCK ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-962-2080",
            "fax_number": "316-962-2079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Dodge St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681144113",
            "country_code": "US",
            "telephone_number": "402-955-4002",
            "fax_number": "402-955-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "17910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanna Donica
• Rachel Elaine Donis, OT
• Colin Donner, DPT
• Kaylee Donohue, APRN
• Brannon Shea Donovan, MD
• Salina D Donovan
• Cheryl Dooley, LMSW
• Cris Dooley, ATC, LAT
• Philip Taylor Dooley, M.D.
• Doolin-Shaw Optical

• Urology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Urology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.