NPIMap

Individual provider Active NPI

Joseph Guy Donzella, DO

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1831190206
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1898 Issued in WV
Practice address
1315 Mount de Chantal Rd
Wheeling, WV 26003-6357
Phone
(304) 243-7117
Fax
(304) 243-5470
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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 1898 WV Primary

Addresses

Primary practice location

1315 Mount de Chantal Rd
Wheeling, WV 26003-6357

Mailing address

1315 Mount de Chantal Rd
Wheeling, WV 26003-6357
Phone (304) 243-7117

Other identifiers 5

IdentifierTypeStateIssuer
1841882000MedicaidWV
2413258MedicaidOH
55035705700OtherWVWV COMPENSATION
1898OtherHEALTH PLAN OF UPPER OH V
001718182OtherMOUNTAIN STATE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20070328000432 WV Practitioner - Family Practice 2668576877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Family Practice, PLLCGroup PAC ID 9436253630, 4 clinicians

Practice addresses (Care Compare)

1315 Mt Dechantal Rd
Wheeling, WV 26003-6357
Phone (304) 243-7117

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1898WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Practice, PLLC Family Medicine CurrentSince Apr 1, 2007 Accepting new patients
Ohio Valley Medical Center Inc Family Medicine PastSince Apr 1, 2007 Accepting new patients
Alecto Healthcare Services Wheeling LLC Past Accepting new patients

Locations

1315 Mount de Chantal Rd
Wheeling, WV 26003
Phone (304) 243-6420

Interoperability endpoints

  • Direct secure messaging: drjoedonzella@afp.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1831190206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MOUNT DE CHANTAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036357",
            "telephone_number": "304-243-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MOUNT DE CHANTAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036357",
            "telephone_number": "304-243-7117",
            "fax_number": "304-243-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONZELLA",
        "first_name": "JOSEPH",
        "middle_name": "GUY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841882000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2413258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMPENSATION",
            "identifier": "55035705700",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "1898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001718182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.