Active NPI
Jean P Donahue, MD
- Dermatopathology Physician
- Jasper, AL
National Provider Identifier
1720088743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 00020327
- Practice address
- 1606 Highway 78 W
Jasper, AL 35501-3668 - Phone
- (205) 295-9415
- Fax
- (205) 295-9418
- NPI assigned
- Aug 1, 2005
- Last updated
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 00020327 | AL | Primary |
Addresses
Primary practice location
1606 Highway 78 W
Jasper, AL 35501-3668
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000035603 | Medicaid | AL |
Other names 1
- Jean Pierre Donahue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000677 | AL | Practitioner - Dermatology | 2961467352 | Practice locations: Jasper, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00020327 | AL | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Dermatology and Rejuvenation Center PC | Current | Accepting new patients | |
| Dermatology Services LLC | Dermatopathology | Current | Accepting new patients |
Locations
1606 Highway 78 W
Jasper, AL 35501
Phone (205) 295-9145
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Jasper, AL
- NPI 1386381614
-
- Dermatopathology Physician
- Jasper, AL
- NPI 1730840497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1720088743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7107",
"fax_number": "304-242-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 HIGHWAY 78 W",
"city": "JASPER",
"state": "AL",
"postal_code": "355013668",
"telephone_number": "205-295-9415",
"fax_number": "205-295-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAHUE",
"first_name": "JEAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AL",
"license": "00020327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000035603",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "DONAHUE",
"middle_name": "PIERRE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.