Kathleen Donovan (NPI# 1437151412, PAC ID# 9234120163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437151412 |
| PAC ID by PECOS | 9234120163 |
| Professional Enrollment ID | I20040520000193 |
| Full Name | Kathleen Donovan |
| Organization Legal Name | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Address |
2 Broadway Ave Gorham NH 03581-1502 |
| Phone Number | 6034662741 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628970480 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301310 | ANDROSCOGGIN VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Broadway Ave, Gorham, NH 03581-1502 | 6034662741 | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Organization Legal Name | COOS COUNTY FAMILY HEALTH SERVICES INC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryanne E Christiansen | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Samuel J Mccreedy | Family Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Alice Mclane | Nurse Practitioner | Coos County Family Health Services Inc | 59 Page Hill Rd, Berlin, NH 03570-3531 |
| Janet Chevarie | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Elaine Chappell | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Basem Mohamed Elbrolosy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Patricia Shute | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Holly B Ramsey | Physician Assistant | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Michael Creppy | Family Medicine | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Clint Emmett | Nurse Practitioner | Coos County Family Health Services Inc | 133 Pleasant St, Berlin, NH 03570-2006 |
| Street Address |
2 BROADWAY AVE |
| City | GORHAM |
| State | NH |
| Zip | 03581-1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel J Mccreedy | Family Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Thomas Temme | Family Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| John A Mcdowell Jr. | Family Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Donald Kernan | Emergency Medicine | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Madeleine Bedard Ryan | Podiatry | Coos County Family Health Services Inc | 2 Broadway Ave, Gorham, NH 03581-1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles M Sidell | Chiropractic | 630 Main St, Gorham, NH 03581-4900 | |
| Sue Ann Sidell | Chiropractic | Riverside Wellness Center Pllc | 630 Main St, Gorham, NH 03581-4900 |
| City | GORHAM |
| Zip Code | 03581 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GORHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathleen Donovan.
| 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.