Active NPI
Thomas William Donohue, DPM
- Podiatrist
- Plantsville, CT
National Provider Identifier
1932136876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000398
- Practice address
- 15 Cornerstone Court
Plantsville, CT 06479-1550 - Phone
- (860) 276-8140
- Fax
- (860) 628-0278
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000398 | CT | Primary |
Addresses
Primary practice location
15 Cornerstone Court
Plantsville, CT 06479-1550
Mailing address
15 Cornerstone Court
Plantsville, CT 06479-1550
Phone (860) 276-8140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004066908 | Medicaid | CT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000398 | CT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1932136876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CORNERSTONE COURT",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791550",
"telephone_number": "860-276-8140",
"fax_number": "860-628-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CORNERSTONE COURT",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "064791550",
"telephone_number": "860-276-8140",
"fax_number": "860-628-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004066908",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantsville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.