Doede D Donaugh-rae (NPI# 1700076957, PAC ID# 8325138084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700076957 |
| PAC ID by PECOS | 8325138084 |
| Professional Enrollment ID | I20121129000089 |
| Full Name | Doede D Donaugh-rae |
| Address |
92 -8691 Lotus Blossom Lane Suite 6 Ocean View HI 96737 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120005 | HILO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 92 -8691 Lotus Blossom Lane, Suite 6, Ocean View, HI 96737 |
| Street Address |
92 -8691 LOTUS BLOSSOM LANE SUITE 6 |
| City | OCEAN VIEW |
| State | HI |
| Zip | 96737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary S Wilson | Nurse Practitioner | Ka'u Wellness LLC | 92 -8691 Lotus Blossom Lane, Suite 6, Ocean View, HI 96737 |
| City | OCEAN VIEW |
| Zip Code | 96737 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OCEAN VIEW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Doede D Donaugh-rae.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.