DR. JODIE L. DONOVAN


Address: 300 E Jefferson St, Suite 300, Boise, ID 83712-6246
Phone: 2083814100

DR. JODIE L. DONOVAN (NPI# 1295027688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295027688
Entity Type Individual
Full Name DR. JODIE L. DONOVAN
Other Name JODIE L. NEWMAN
Credential M.D.
Practice Address 300 E Jefferson St
Suite 300
Boise
ID 83712-6246
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083814100
Mailing Telephone 2083812222
Enumeration Date 2011-05-04
Last Update Date 2015-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine M 12673 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 300 E JEFFERSON ST
SUITE 300
City BOISE
State ID
Zip Code 83712-6246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134199631 Cherish L Smith Physician Assistant 300 E Jefferson St, Suite 300, Boise, ID 83712-6246 2006-01-25
1962958892 Brittany Matthews Nurse Practitioner 300 E Jefferson St, #300, Boise, ID 83712-6246 2016-08-31
1013396266 Emily Barnett Social Worker 300 E Jefferson St, Boise, ID 83712-6246 2015-05-20
1437583408 Andrea L Bockenstette Nurse Practitioner 300 E Jefferson St, Ste 101, Boise, ID 83712-6246 2013-08-27
1639519853 Sara M O'connor Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2013-07-02
1396071056 Sorcha M Cusack Physician Assistant 300 E Jefferson St, Ste 300, Boise, ID 83712-6246 2009-10-29
1255574109 Roger Thomas Turcotte Jr. Internal Medicine 300 E Jefferson St, Suite 201, Boise, ID 83712-6246 2009-04-08
1306006929 Shannon R Vaughn Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2008-06-17
1396916417 St. Luke's Regional Medical Center Nurse Practitioner 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 2008-03-17
1669666939 St Lukes Regional Medical Center Clinic/Center 300 E Jefferson St, Boise, ID 83712-6246 2007-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477016012 Veranda At Barber Station LLC Assisted Living Facility 3266 E. Barber Valley Drive, Boise, ID 83712 2019-04-10
1891258612 Mary Elizabeth Riedel Occupational Therapist 190 E Bancock St., Boise, ID 83712 2019-04-09
1427523968 Q17 Health Partners LLC Surgery 100 East Idaho Street #317, Boise, ID 83712 2018-10-11
1053898247 Travis Dale Worwood Social Worker South Entrance, 1075 E. Park Blvd, Boise, ID 83712 2018-07-20
1689166761 Kristen Nicole Ray Social Worker 109 E Bannock St, Boise, ID 83712 2018-06-04
1740706894 Meghan Heitstuman Social Worker 190 E Bannock Street, Boise, ID 83712 2017-08-21
1942759725 Kay Craig Physical Therapist 190 Bannock, Boise, ID 83712 2016-09-22
1235686395 Sharon Bjornson Physical Therapist 190 East Bannack, Boise, ID 83712 2016-09-07
1033576491 Heather Hussey Genetic Counselor, MS 100 E Idaho Street, Msti Genetics, Boise, ID 83712 2016-01-15
1295139137 Amie Bartholomeus Massage Therapist 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 2014-10-21
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891256004 Ryan Thompson Internal Medicine 400 W Fort St # 111r, Boise, ID 83702-4531 2019-03-29
1518311679 Samantha Hersrud Internal Medicine 500 W Fort St 111r, Internal Medicine Residency, Boise, ID 83702 2016-04-14
1649634718 Elizabeth Ann Schackmann Internal Medicine 500 W Fort St # 111r, Boise, ID 83702-4501 2016-04-05
1134513088 Alex Tanabe Internal Medicine 1000 E Park Blvd, Boise, ID 83712-7791 2015-03-27
1104169283 Jacqueline Kelly Internal Medicine 500 West Fort St. #111, Boise Vamc, Boise, ID 83702 2013-03-27
1083980734 Shanaz Sikder Internal Medicine 403 S 11th St Ste 100, Boise, ID 83702 2012-03-27
1679869473 Allyson J Komori Internal Medicine 500 W Fort St # 111, Suite 202, Boise, ID 83702-4501 2011-06-21
1982929048 Sarita Anisha Kishore Internal Medicine 1970 Toluka Way, Boise, ID 83712-8547 2010-04-01
1568796282 Life Quest Center Inc Internal Medicine 3355 N Five Mile Rd, Ste 284, Boise, ID 83713-3925 2009-09-28
1164673968 Jenifer L Barry Internal Medicine 1525 S Owyhee St, Boise, ID 83705-6014 2008-10-10
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City BOISE
Zip Code 83712

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Dataset Information

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.

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