DR. JOHN CORNELIUS DONOVAN (NPI# 1184697567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184697567 |
| Entity Type | Individual |
| Full Name | DR. JOHN CORNELIUS DONOVAN |
| Credential | D.P.M. |
| Practice Address |
161 Riverside Dr Suite M08 Binghamton NY 13905-4176 |
| Practice Telephone | 6077708000 |
| Practice Fax Number | 6077709755 |
| Mailing Telephone | 6077708000 |
| Mailing Fax Number | 6077709755 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 003345 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00660673 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300188 | John Donovan | Physical Therapist | 200 Tamal Plz Ste 120, Corte Madera, CA 94925-1195 | 2019-11-07 |
| 1629513734 | John Francis Donovan | Technician, Pathology | 3619 Dearborn St, Oceanside, CA 92057 | 2016-12-28 |
| 1164681615 | John Francis Donovan | Surgery | 24 Summerhill Ln, Chesterfield, MO 63017-8408 | 2008-06-09 |
| 1134303027 | John Donovan | Pharmacist | 11935 Old Main Road, Silver Creek, NY 14136-9742 | 2007-12-27 |
| 1851593784 | John Scott Donovan | Physical Therapist | 1403 Faulkenberry Rd, Wilmington, NC 28409-4447 | 2007-06-04 |
| 1659490712 | John Donovan | General Practice | 201 Plantation Club Dr Apt 1012, Melbourne, FL 32940-1932 | 2007-03-28 |
| 1497703425 | John M Donovan | Chiropractor | 405 E 2nd St, The Dalles, OR 97058-2411 | 2006-05-04 |
| 1588654024 | John G Donovan | Chiropractor | 410 W 3rd St, Carroll, IA 51401-2230 | 2005-10-26 |
| 1679565337 | John M Donovan | Urology | 3243 E Murdock St Ste 500, Wichita, KS 67208 | 2005-08-18 |
| 1407850852 | John Donovan | Otolaryngology | 3099 River Rd S, Salem, OR 97302-9754 | 2005-06-13 |
| Street Address |
161 RIVERSIDE DR SUITE M08 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13905-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468130 | Michael J Fidler | Dentist | 161 Riverside Dr, Ste 201, Binghamton, NY 13905-4178 | 2005-06-28 |
| 1487103024 | Jaime Lynn Fernandez | Nurse Practitioner | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-09-23 |
| 1801249669 | Mary Ann Wilson | Audiologist | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2016-07-18 |
| 1881048643 | Kristen Bishop | Nurse Practitioner | 161 Riverside Dr, Suite #302, Binghamton, NY 13905-4176 | 2016-04-19 |
| 1508249459 | Raza Ashraf | Family Medicine | 161 Riverside Dr, Binghamton, NY 13905 | 2015-07-09 |
| 1497183438 | Tina Marie Slocum | Advanced Practice Midwife | 161 Riverside Dr, Suite 109, Binghamton, NY 13905-4176 | 2013-10-30 |
| 1659719409 | Nina C Gaube | Nurse Practitioner | 161 Riverside Dr, Suite 210, Binghamton, NY 13905-4176 | 2013-06-13 |
| 1013254036 | Binghamton Plastic Surgery, Pllc | Specialist | 161 Riverside Dr, Suite 106, Binghamton, NY 13905-4176 | 2013-01-10 |
| 1922391754 | Michelle Ann Drilon | Pediatrics | 161 Riverside Dr, Suite 206, Binghamton, NY 13905-4176 | 2011-05-26 |
| 1992095483 | Kelly Eileen Teagle | Internal Medicine | 161 Riverside Dr, Binghamton, NY 13905-4176 | 2011-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
| 1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
| 1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
| 1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
| 1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
| 1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
| 1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
| 1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
| 1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
| 1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
| Find all providers in zip 13905 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832774 | Tier Podiatric Home Care Pllc | Podiatrist | 7 Woodland Ave, Binghamton, NY 13903-3329 | 2015-06-02 |
| 1154323194 | Shari L Nichols | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2005-08-10 |
| 1467450429 | Parker Gennett | Podiatrist | 134 Riverside Dr, Binghamton, NY 13905-4219 | 2005-07-13 |
| 1295258366 | Helen Shnol | Podiatrist | 169 Riverside Drive, Podiatric Residency Program, Binghamton, NY 13905 | 2017-07-20 |
| 1275976128 | Angela Freeman | Podiatrist | 91 Chenango Bridge Rd, Binghamton, NY 13901-1293 | 2013-04-10 |
| 1659698991 | Bradley Hart | Podiatrist | 65 Pennsylvania Ave, Binghamton, NY 13903-1651 | 2010-04-27 |
| 1699941948 | Jennifer Y Sweet | Podiatrist | 91 Chenango Bridge Rd, Binghamton, NY 13901-1293 | 2008-05-07 |
| 1144381443 | James Edward Mcnerney | Podiatrist | 65 Pennsylvania Ave, Suite 200, Binghamton, NY 13903-1651 | 2006-12-12 |
| 1104837434 | Binghamton Podiatry PC | Podiatrist | 38 Front St, # 2b, Binghamton, NY 13905-4712 | 2006-08-11 |
| 1043236391 | Greg V Wixsom | Podiatrist | 38 Front St, 2b, Binghamton, NY 13905-4712 | 2006-07-13 |
| Find all providers in BINGHAMTON | ||||
| City | BINGHAMTON |
| Zip Code | 13905 |
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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.