Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 31284 | KY |
NPI | 1013945088 |
---|---|
Provider Name | James P Donovan |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40205-3372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000196590 | ANTHEM PIN (01) | KY |
000000693032 | ANTHEM - NCVA (01) | KY |
000057080E | HUMANA - NCVA (01) | KY |
060063720 | RAILROAD MEDICARE PIN (01) | KY |
1141305 | PASSPORT PIN (01) | KY |
200374310A | (05) | IN |
200374310F | (05) | IN |
2438110000 | PASSPORT ADVANTAGE PIN (01) | KY |
50031381 | PASSPORT (01) | KY |
64312846 | (05) | KY |
G58952 | (02) | KY |
P00893012 | RAILROAD MEDICARE - NCVA (01) | KY |