Individual provider Active NPI

Patrick Donovan, MD

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1679579619
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14106 Issued in AZ
Practice address
3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638
Phone
(480) 949-9550
Fax
(480) 949-0147
NPI assigned
Jun 23, 2005
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14106 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638

Mailing address

3501 N Scottsdale Rd
Ste 300
Scottsdale, AZ 85251-5638
Phone (480) 949-9550

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1679579619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515638",
            "telephone_number": "480-949-9550",
            "fax_number": "480-949-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515638",
            "telephone_number": "480-949-9550",
            "fax_number": "480-949-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.