JOHN P DONAHUE (NPI# 1588660435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660435 |
| Entity Type | Individual |
| Full Name | JOHN P DONAHUE |
| Credential | MD |
| Practice Address |
2909 Main St Stratford CT 06614-4960 |
| Mailing Address |
Po Box 6128 Bridgeport CT 06606-0128 |
| Practice Telephone | 2036834570 |
| Practice Fax Number | 2033784788 |
| Mailing Telephone | 2036834500 |
| Mailing Fax Number | 2039261410 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
034161 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001341619 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437690344 | John Joseph Donahue | Counselor | 55 Myers Ln, Schuylerville, NY 12871-1160 | 2017-03-10 |
| 1477961480 | John Donahue | Psychologist | 10630 Little Patuxent Pkwy Ste And209a, Columbia, MD 21044-3264 | 2014-07-23 |
| 1588620389 | John P Donahue | Occupational Therapist | 5150 Wardcliff Dr, East Lansing, MI 48823-3851 | 2006-04-21 |
| 1952400061 | John Kopf Donahue | Pathology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2006-09-22 |
| 1598797797 | John Kevin Donahue | Internal Medicine | 55 Lake Ave N, Department of Cardiology, Worcester, MA 01655-0002 | 2006-07-07 |
| 1609813914 | John E Donahue | Pathology | 593 Eddy St, Department of Pathology Apc 12, Providence, RI 02903-4923 | 2006-06-02 |
| 1053373068 | John R Donahue | Orthopaedic Surgery | 1569 Medical Dr, Suite 200, Pottstown, PA 19464-3223 | 2006-04-05 |
| 1164409918 | John P Donahue | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| Street Address |
2909 MAIN ST |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-4960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508984717 | Marisa Q Vilhena | Clinic/Center | 2909 Main St, Stratford, CT 06614-4960 | 2007-03-26 |
| 1770502361 | Gregory K Russo | Radiology | 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.C., Stratford, CT 06614-4960 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912294182 | Eran Rotem | Radiology | 2876 Main Street, Advanced Radiology, Stratford, CT 06614-4984 | 2011-07-07 |
| 1770502361 | Gregory K Russo | Radiology | 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.C., Stratford, CT 06614-4960 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
| Find all providers with the same taxonomy | ||||
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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.