ROY L DONNERBERG (NPI# 1952394215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952394215 |
| Entity Type | Individual |
| Full Name | ROY L DONNERBERG |
| Credential | MD |
| Practice Address |
1492 E Broad St Columbus OH 43205-1546 |
| Mailing Address |
Po Box 182255 Columbus OH 43218-2255 |
| Practice Telephone | 6142572100 |
| Mailing Telephone | 6144305730 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35016943 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000116383 | 01 |
| OH | UNITED HEALTH | 4800093 | 01 |
| OH | 0066708 | 05 |
| Street Address |
1492 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995061 | Edwin H Season | Specialist | 1492 E Broad St, Suite 1202, Columbus, OH 43205-1546 | 2005-07-12 |
| 1043679137 | Lynne Luca | Pharmacist | 1492 E Broad St, Columbus, OH 43205-1546 | 2016-02-17 |
| 1093199408 | Sherri Harkless | Clinical Nurse Specialist | 1492 E Broad St, North 121, Columbus, OH 43205-1546 | 2015-07-15 |
| 1194112623 | Vanessa Ann Pultz | Pharmacist | 1492 E Broad St, Columbus, OH 43205-1546 | 2015-04-22 |
| 1033505508 | Michael Karoly | Pharmacist | 1492 E Broad St, Columbus, OH 43205-1546 | 2015-04-12 |
| 1932502796 | Jennifer Renee Severing | Pharmacist | 1492 E Broad St, Tb-009, Columbus, OH 43205-1546 | 2014-10-07 |
| 1962805986 | Heidi Herson | Pharmacist | 1492 E Broad St, Columbus, OH 43205-1546 | 2014-10-04 |
| 1285037408 | Matthew Delahunty | Pharmacist | 1492 E Broad St, Tb009, Columbus, OH 43205-1546 | 2014-10-01 |
| 1124443973 | Christopher David Westrick | Pharmacist | 1492 E Broad St, Columbus, OH 43205-1546 | 2014-03-03 |
| 1306276654 | Nelson Heise | Counselor | 1492 E Broad St, Columbus, OH 43205-1546 | 2013-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861580110 | Natarajan Sundaram | Internal Medicine | 6096 E Main St Suite 105, Columbus, OH 43213 | 2006-10-11 |
| 1265421531 | Marian Kennedy Schuda | Internal Medicine | 3724 A Olentangy River Rd, Columbus, OH 43214 | 2005-10-19 |
| 1710543962 | Rahul Pamarthy | Internal Medicine | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-05-14 |
| 1407146038 | Erin Mary Elizabeth Scott | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2011-04-16 |
| 1194981308 | Gokulan Ratnarajah | Internal Medicine | 3525 Olentangy River Rd, Suite 4330, Columbus, OH 43214-3937 | 2008-08-07 |
| 1366604167 | Mallika Thiruppathi | Internal Medicine | 1800 10th Ave, Columbus, GA 31901-1513 | 2008-07-02 |
| 1801942867 | Mark Robert Montoney | Internal Medicine | 180 E Broad St, Columbus, OH 43215-3707 | 2007-01-25 |
| 1518986728 | Venkanna Kanna | Internal Medicine | 355 E Campus View Blvd, Suite 180, Columbus, OH 43235-5616 | 2006-07-19 |
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|---|---|---|---|---|
| 1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
| 1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
| 1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
| 1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
| 1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
| 1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
| 1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
| 1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
| 1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
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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.