DR. JENNIFER DONAHUE (NPI# 1275647448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275647448 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER DONAHUE |
| Credential | M.D. |
| Practice Address |
85 Poheganut Dr Groton CT 06340-3216 |
| Practice Telephone | 8604486303 |
| Practice Fax Number | 8604489678 |
| Mailing Telephone | 8604486303 |
| Mailing Fax Number | 8604489678 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 038925 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447657853 | Jennifer Donahue | Speech-Language Pathologist | 6560 E Nuttal Dr, Kingman, AZ 86401-8340 | 2014-12-01 |
| 1356677298 | Jennifer Donahue | Occupational Therapist | 604 Goodridge Dr, Suite A, Ridgeland, MS 39157-4402 | 2009-10-28 |
| 1538623350 | Jennifer Donahue | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2019-01-25 |
| 1952681900 | Jennifer Paige Donahue | Case Manager/Care Coordinator | 1217 Stone Street, Jonesboro, AR 72401 | 2011-08-23 |
| 1538472865 | Jennifer Marie Donahue | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2010-07-15 |
| Street Address |
85 POHEGANUT DR |
| City | GROTON |
| State | CT |
| Zip Code | 06340-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937475 | Darren J Courtright | Podiatrist | 85 Poheganut Dr, Groton, CT 06340-3252 | 2006-01-18 |
| 1528534641 | Nina Erlanger | Nurse Practitioner | 85 Poheganut Dr, Groton, CT 06340-3252 | 2018-10-16 |
| 1902232374 | Tracey Gayle Decastro | Nurse Practitioner | 85 Poheganut Dr, Groton, CT 06340-3252 | 2013-09-17 |
| 1609059286 | Sonya Lisa Marshall | Podiatrist | 85 Poheganut Dr, Groton, CT 06340-3252 | 2007-12-06 |
| 1528189644 | Women's Care Medical Center, PC | Family Medicine | 85 Poheganut Dr, Groton, CT 06340-3216 | 2007-04-03 |
| 1487706008 | Shoreline Foot & Ankle Center, PC | Durable Medical Equipment & Medical Supplies | 85 Poheganut Dr, Groton, CT 06340-3252 | 2007-01-16 |
| 1780733519 | Shoreline Foot & Ankle Center, PC | Podiatrist | 85 Poheganut Dr, Groton, CT 06340-3252 | 2007-01-10 |
| 1821102914 | Patricia Mcivor | Family Medicine | 85 Poheganut Dr, Groton, CT 06340-3216 | 2006-08-18 |
| 1326152414 | Laura Anne Watts | Family Medicine | 85 Poheganut Dr, Groton, CT 06340-3216 | 2006-08-18 |
| 1659485753 | Laura Lee Stapleton | Physician Assistant | 85 Poheganut Dr, Groton, CT 06340-3216 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197715 | Yvonne J Sinclair | Family Medicine | 65 Merlino Dr, Groton, CT 06340-3149 | 2017-11-13 |
| 1982045969 | Jonathan Casey Brown | Family Medicine | 395 Hazelnut Hill Rd, Groton, CT 06340-3208 | 2013-07-08 |
| 1336434430 | Manju Mahajan | Family Medicine | 788 Boston Rd, Groton, MA 01450-2056 | 2011-06-16 |
| 1790970937 | Peter Clark, Md, PC | Family Medicine | 220 W South St, Groton, NY 13073-1237 | 2007-09-11 |
| 1306031976 | Avera St Luke's | Family Medicine | 8 E Us Highway 12, Groton, SD 57445-2176 | 2007-09-07 |
| 1427037159 | Ahmad M Mehdi | Family Medicine | 100 Sykes St, Groton, NY 13073 | 2006-01-11 |
| 1558345918 | John Christopher Daniel | Family Medicine | Trout Ave Bldg 141, Naval Submarine Medical Research Laboratory, Groton, CT 06349-5900 | 2005-11-30 |
| 1114918828 | Paul David Seeman | Family Medicine | Route 12 Bldg 449 Professional Affairs, Naval Ambulatory Care Center, Groton, CT 06349-5600 | 2005-11-02 |
| 1710978739 | Joel Walter Larcombe | Family Medicine | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2005-10-31 |
| 1588984264 | Tisha N. Dickey | Family Medicine | 1 Forge Village Rd, Groton, MA 01450-2047 | 2010-06-04 |
| Find all providers in GROTON | ||||
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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.