Active NPI
Donovan Byrne Foote, M. D.
- Otolaryngology Physician
- Grand Island, NE
National Provider Identifier
1922333954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 10741
- Practice address
- 1107 N Broadwell Ave
Grand Island, NE 68803-3755 - Phone
- (308) 398-5312
- NPI assigned
- Oct 8, 2009
- Last updated
- Oct 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 10741 | NE | Primary |
Addresses
Primary practice location
1107 N Broadwell Ave
Grand Island, NE 68803-3755
Mailing address
1230 Pershing Rd
Hastings, NE 68901-2835
Phone (402) 462-6260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10741 | NE | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1922333954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 PERSHING RD",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689012835",
"telephone_number": "402-462-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 N BROADWELL AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688033755",
"telephone_number": "308-398-5312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOOTE",
"first_name": "DONOVAN",
"middle_name": "BYRNE",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-08",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NE",
"license": "10741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.