Active NPI
William N Donovan Jr., MD
- Sleep Medicine (Internal Medicine) Physician
- Fitchburg, WI
National Provider Identifier
1972556827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 24149-020
- Practice address
- 2844 Index Rd
Fitchburg, WI 53713-3117 - Phone
- (608) 229-7979
- Fax
- (608) 229-8110
- NPI assigned
- May 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 24149-020 | WI | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 24149-020 | WI | Primary |
Addresses
Primary practice location
2844 Index Rd
Fitchburg, WI 53713-3117
Mailing address
2844 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7979
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30405300 | Medicaid | WI | |
| P01735864 | Other | WI | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 24149-020 | WI | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1972556827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 INDEX RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133117",
"telephone_number": "608-229-7979",
"fax_number": "608-229-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 INDEX RD",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537133117",
"telephone_number": "608-229-7979",
"fax_number": "608-229-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "WILLIAM",
"middle_name": "N",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WI",
"license": "24149-020",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "WI",
"license": "24149-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30405300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01735864",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.