NPIMap

Individual provider Active NPI

Jeffrey Donohoo, MD

  • Family Medicine Physician
  • Georgetown, OH
National Provider Identifier
1770671232
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.048153 Issued in OH
Practice address
415 Home St
Georgetown, OH 45121-1478
Phone
(937) 378-1008
Fax
(937) 378-1012
NPI assigned
Oct 10, 2006
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.048153 OH Primary

Addresses

Primary practice location

415 Home St
Georgetown, OH 45121-1478

Mailing address

415 Home St
Georgetown, OH 45121-1478
Phone (937) 378-1008

Other identifiers 1

IdentifierTypeStateIssuer
0555662MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000397 OH Practitioner - Family Practice 3870637994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 Home St
Georgetown, OH 45121-1478
Phone (937) 378-1008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.048153OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donohoo Primary Care LLC Family Medicine CurrentSince May 23, 2019 Accepting new patients
Villa Georgetown Rehabilitation and Healthcare Center LLC PastSince Sep 1, 1985 Accepting new patients
Brown County General Hospital Past Accepting new patients

Locations

415 Home St
Georgetown, OH 45121
Phone (937) 378-0031

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa Georgetown Rehabilitation and Healthcare CenterGeorgetown, OH, CCN 365786 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 1985
Sep 1, 1985

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1770671232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211478",
            "telephone_number": "937-378-1008",
            "fax_number": "937-378-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOME ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211478",
            "telephone_number": "937-378-1008",
            "fax_number": "937-378-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHOO",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.048153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555662",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, OH

Sources for this page

Verify at the official NPI Registry.