NPIMap

Individual provider Active NPI

Robert Marc Donawa, M.D.

  • Family Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1922004712
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-074081 Issued in OH
Practice address
702 Commerce Dr
Ste 160
Perrysburg, OH 43551-5271
Phone
(419) 872-7600
Fax
(419) 872-7601
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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 35-074081 OH Primary

Addresses

Primary practice location

702 Commerce Dr
Ste 160
Perrysburg, OH 43551-5271

Mailing address

702 Commerce Dr
Suite 160
Perrysburg, OH 43551-5239
Phone (419) 872-7600

Other identifiers 2

IdentifierTypeStateIssuer
000000361606OtherOHANTHEM
2296019MedicaidOH

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
I20050525000852 OH Practitioner - Family Practice 5799727152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3130 W Central Ave
Suite a
Toledo, OH 43606-2959
Phone (419) 841-9622

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-074081OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Nov 6, 2023 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 6, 2023 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. Past Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

3130 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 841-9622

Interoperability endpoints

  • Direct secure messaging: rdonawa29413@nomshealthcare.direct-ci.com

Organizations & group practices 6

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 7

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": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1922004712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "SUITE 160",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515239",
            "telephone_number": "419-872-7600",
            "fax_number": "419-872-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "STE 160",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515271",
            "telephone_number": "419-872-7600",
            "fax_number": "419-872-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAWA",
        "first_name": "ROBERT",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-074081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000361606",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.