DR. RAYMOND WAYNE DONOVAN JR. (NPI# 1891758629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891758629 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND WAYNE DONOVAN JR. |
| Other Name | DR. RAYMOND WAYNE DONOVAN |
| Credential | M.D. |
| Practice Address |
417 Eagle Crest Way Rio Vista CA 94571 |
| Practice Telephone | 7074196026 |
| Mailing Telephone | 7074196026 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | G19362 | CA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | G19362 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
417 EAGLE CREST WAY |
| City | RIO VISTA |
| State | CA |
| Zip Code | 94571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060087 | Kenneth Alan Wudel | Pharmacist | 407 Main St. Delta Pharmacy, Rio Vista, CA 94571 | 2018-10-25 |
| 1366960882 | Amber Huizenga | Student in an Organized Health Care Education/Training Program | 628 Montezuma Street, Rio Vista, CA 94571 | 2017-09-05 |
| 1598195315 | Paul Willem Bolle | Marriage & Family Therapist | 125 Sacramento Street, Rio Vista, CA 94571 | 2013-11-14 |
| 1023294410 | Gwen Cotter | Counselor | 393 Del Monte Drive, Rio Vista, CA 94571 | 2008-01-15 |
| 1598277923 | Cynthia Ann Keith | Pharmacist | 407 Main St, Rio Vista, CA 94571 | 2017-10-25 |
| 1740898808 | Maribel Torres | Pharmacist | 310 Chardonnay Way, Rio Vista, CA 94571-1108 | 2020-07-15 |
| 1730390105 | Healthy Partnerships | Community/Behavioral Health | 1105 Airport Rd Ste A, Rio Vista, CA 94571-1267 | 2007-05-25 |
| 1033636287 | Briana Soladay | Psychologist | 501 Elm Way, Rio Vista, CA 94571-1303 | 2017-08-28 |
| 1649312174 | Delta Drug Company Inc | Pharmacy | 407 Main St, Rio Vista, CA 94571-1616 | 2007-02-12 |
| 1063637262 | Thomas Eugene Gong | Dentist | 533 Main St, Rio Vista, CA 94571-1618 | 2007-04-16 |
| Find all providers in zip 94571 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.