Individual provider Active NPI

Donavan Ginest

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1730613381
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD198409 Issued in OR
Practice address
8450 Kelsall Dr
Orlando, FL 32832-6323
Phone
(541) 740-6006
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD198409 OR Primary

Addresses

Primary practice location

8450 Kelsall Dr
Orlando, FL 32832-6323

Mailing address

12045 SW Aspen Ridge Dr
Portland, OR 97224-2569
Phone (971) 297-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915002565 OR Practitioner - Emergency Medicine 1759709231 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Northwest Acute Care Specialists PC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
Salem Health West Valley CurrentSince Sep 1, 2022 Accepting new patients

Locations

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1730613381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 SW ASPEN RIDGE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972242569",
            "telephone_number": "971-297-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 KELSALL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326323",
            "telephone_number": "541-740-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINEST",
        "first_name": "DONAVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD198409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.