Individual provider Active NPI

Meryetta Hadley Donohue, DO

  • General Practice Physician
  • Altoona, PA
National Provider Identifier
1750347985
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OSO10199L Issued in PA
Practice address
1127 7TH Ave
Altoona, PA 16602-2518
Phone
(814) 515-2797
Fax
(814) 515-1445
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OSO10199L PA Primary

Addresses

Primary practice location

1127 7TH Ave
Altoona, PA 16602-2518

Mailing address

301 Union Ave # 396
Altoona, PA 16602-3249
Phone (814) 515-2797

Other names 1

  • Hadley Donohue Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050111000350 PA Practitioner - General PracticePractitioner - Internal Medicine 1355399866 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OSO10199LPAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD at Home, Inc PastSince Jan 18, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lunda E. Weaver, MD Past Accepting new patients

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1750347985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNION AVE # 396",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166023249",
            "telephone_number": "814-515-2797",
            "fax_number": "814-515-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022518",
            "telephone_number": "814-515-2797",
            "fax_number": "814-515-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MERYETTA",
        "middle_name": "HADLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OSO10199L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HADLEY",
            "last_name": "DONOHUE",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.