Active NPI
Timothy J Donovan MD LLC
- Family Medicine Physician
- Leesville, LA
National Provider Identifier
1679815294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD203745
- Legal business name
- TIMOTHY J DONOVAN MD LLC
- Practice address
- 103 West University Parkway
Leesville, LA 71446-4482 - Phone
- (337) 239-2600
- Fax
- (337) 239-2601
- NPI assigned
- Mar 21, 2013
- Last updated
- Oct 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Jospeh Donovan, MD
- Title
- Owner/Pysician
- Phone
- (337) 239-2600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD203745 | LA | Primary |
Addresses
Primary practice location
103 West University Parkway
Leesville, LA 71446-4482
Mailing address
103 West University Parkway
Leesville, LA 71446-4482
Phone (337) 239-2600
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Leesville, LA
- NPI 1497917280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1679815294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WEST UNIVERSITY PARKWAY",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464482",
"telephone_number": "337-239-2600",
"fax_number": "337-239-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 WEST UNIVERSITY PARKWAY",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714464482",
"telephone_number": "337-239-2600",
"fax_number": "337-239-2601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY J DONOVAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-21",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "DONOVAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSPEH",
"authorized_official_title_or_position": "OWNER/PYSICIAN",
"authorized_official_telephone_number": "337-239-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD203745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.