Active NPI
Edward Donovan, M.D.
- Otolaryngology Physician
- Nashua, NH
National Provider Identifier
1861592933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 7761
- Practice address
- 17 Riverside St
Suite 104
Nashua, NH 03062-1304 - Phone
- (603) 882-8923
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 7761 | NH | Primary |
Addresses
Primary practice location
17 Riverside St
Suite 104
Nashua, NH 03062-1304
Mailing address
17 Riverside St
Suite 104
Nashua, NH 03062-1304
Phone (603) 882-8923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003270 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861592933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 RIVERSIDE ST",
"address_2": "SUITE 104",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621304",
"telephone_number": "603-882-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 RIVERSIDE ST",
"address_2": "SUITE 104",
"city": "NASHUA",
"state": "NH",
"postal_code": "030621304",
"telephone_number": "603-882-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NH",
"license": "7761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003270",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.