MR. JOHN- PAUL DONOVAN (NPI# 1093878522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093878522 |
Entity Type | Individual |
Full Name | MR. JOHN- PAUL DONOVAN |
Credential | CPO |
Practice Address |
1274 Congress St Portland ME 04102-2111 |
Practice Telephone | 2077741002 |
Practice Fax Number | 2077749002 |
Mailing Telephone | 2077741002 |
Mailing Fax Number | 2077749002 |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | ANTHEM | 007654 | 01 |
Street Address |
1274 CONGRESS ST |
City | PORTLAND |
State | ME |
Zip Code | 04102-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518013275 | Atlantic Prosthetic and Orthotic Services | Durable Medical Equipment & Medical Supplies | 1274 Congress St, Portland, ME 04102-2111 | 2007-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316488356 | Jim Chea | Orthotist | 11782 Sw Barnes Rd Ste 160e, Portland, OR 97225-5939 | 2017-03-09 |
1629227095 | Mark Jason Sauser | Orthotist | 173 Ne 102nd Avenue, Portland, OR 97220-4169 | 2008-09-10 |
1205972049 | Marcus James Cassar | Orthotist | 2824 Sw Sam Jackson Park Rd, Portland, OR 97201-3006 | 2007-01-29 |
1134285620 | Natalia Hanavan | Orthotist | 3710 Sw Us Veteran's Hospital Rd, Portland, OR 97207 | 2006-12-29 |
1306875208 | Maine Artificial Limb & Orthotics | Orthotist | 959 Brighton Ave, Portland, ME 04102-1020 | 2006-07-02 |
1457837403 | Miles S Bennett | Orthotist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-07-12 |
1043766231 | Michael Suchoski | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-29 |
1447703707 | Ron Stout | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
1174076434 | Ann Kennedy | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
1669925921 | Sabrina Michele Jakobson Huston | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.