Healthy Living Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS015888 Issued in PA

Legal business name

HEALTHY LIVING FAMILY MEDICINE PLLC

Practice address

51 Delaware St
Ste 1
Du Bois, PA 15801-2764

Phone

(814) 601-3113

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Ulrike Shaon Donahue, DO

Title

Physician

Phone

(814) 573-0227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1730624164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HEISKEL DR",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707102",
            "telephone_number": "814-573-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 DELAWARE ST",
            "address_2": "STE 1",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012764",
            "telephone_number": "814-601-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "DONAHUE",
        "authorized_official_first_name": "ULRIKE",
        "authorized_official_middle_name": "SHAON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-573-0227",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.